The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. This excerpt is provided for use in connection with the review of a claim for benefits and may not be reproduced or used for any other purpose. Dont have an account? Learn more about Ezoic here. Disclaimer of Warranties and Liabilities. Note: If you are a hospital based provider seeking to join an already contracted group, you do not need to complete the application independently. CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to the implied warranties of merchantability and fitness for a particular purpose. The conclusion that a particular service or supply is medically necessary does not constitute a representation or warranty that this service or supply is covered (i.e., will be paid for by Aetna) for a particular member. Any use of CPT outside of Aetna Precertification Code Search Tool should refer to the most Current Procedural Terminology which contains the complete and most current listing of CPT codes and descriptive terms. For Medicare Products Provider Dispute Inquiries HMO plans only: Contact the Provider Service Center at 1-800-624-0756. You should collect the members copayment, coinsurance and/or deductible for covered services and submit all clean claims for covered services to us for payment. All services deemed "never effective" are excluded from coverage. Call Aetna Mail Order Drug at 1-866-612-3862 (TTY: 711). Since Dental Clinical Policy Bulletins (DCPBs) can be highly technical and are designed to be used by our professional staff in making clinical determinations in connection with coverage decisions, members should review these Bulletins with their providers so they may fully understand our policies. Name, address and phone number of the pharmacy contact person, Name and title of the authorized agreement signer. If you missed Open Enrollment, please contact your HR representative immediately. Lexington, KY 40512, P O BOX 981109 EL PASO TX 79998-1109 800-777-3240, PO BOX 981107 EL PASO TX 79998-1107 800-245-1206, Aetna B,M ,W 888-632-3862 It will show you whether a drug is covered or not covered, but the tier information may not be the same as it is for your specific plan. Any use of CPT outside of Aetna Precertification Code Search Tool should refer to the most Current Procedural Terminology which contains the complete and most current listing of CPT codes and descriptive terms. But for those enrolling in an HMO plan, this is especially important. P.O. For language services, please call the number on your member ID card and request an operator. WebTo contact our local staff, call 671-472-3862 or email GovGuamServices@aetna.com from 8AM5PM (MondayThursday), 9AM5PM (Friday). Minneapolis, MN 55435-8106 Aetna Mail Order Drug. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. Under certain plans, if more than one service can be used to treat a covered person's dental condition, Aetna may decide to authorize coverage only for a less costly covered service provided that certain terms are met. Have questions about our products, policies and services? Aetna address and Aetna Provider Phone Number for Claims Complete list: Denials with solutions in Medical Billing, Denials Management Causes of denials and solution in medical billing, CO 4 Denial Code The procedure code is inconsistent with the modifier used or a required modifier is missing, CO 5 Denial Code The Procedure code/Bill Type is inconsistent with the Place of Service, CO 6 Denial Code The Procedure/revenue code is inconsistent with the patients age, CO 7 Denial Code The Procedure/revenue code is inconsistent with the patients gender, CO 15 Denial Code The authorization number is missing, invalid, or does not apply to the billed services or provider, CO 17 Denial Code Requested information was not provided or was insufficient/incomplete, CO 19 Denial Code This is a work-related injury/illness and thus the liability of the Workers Compensation Carrier, CO 23 Denial Code The impact of prior payer(s) adjudication including payments and/or adjustments, CO 31 Denial Code- Patient cannot be identified as our insured, CO 119 Denial Code Benefit maximum for this time period or occurrence has been reached or exhausted, Molina Healthcare Phone Number claims address of Medicare and Medicaid, Healthfirst Customer Service-Health First Provider Phone Number-Address and Timely Filing Limit, Kaiser Permanente Phone Number Claims address and Timely Filing Limit, Amerihealth Caritas Phone Number, Payer ID and Claim address, ICD 10 Code for Sepsis Severe Sepsis and Septic shock with examples, Anthem Blue Cross Blue Shield Timely filing limit BCBS TFL List, Workers Compensation Insurances List of United States, Workers Compensation time limit for filing Claim and reporting in United States. No contract is required to see members enrolled in these plans. If you find anything not as per policy. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. PO Box 15708 If they dont select a PCP, we may select one for them. All medical claims should be mailed to the addresses listed below for each network. Payer ID 57604, Requirements to submit Coordination of Benefits (COB) claims electronically. CPT only Copyright 2022 American Medical Association. Medical benefit claim submission Please log in to your secure account to get what you need. 1. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. License to use CPT for any use not authorized herein must be obtained through the American Medical Association, CPT Intellectual Property Services, 515 N. State Street, Chicago, Illinois 60610. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. AETNA Members and their providers will need to consult the member's benefit plan to determine if there are any exclusions or other benefit limitations applicable to this service or supply. By clicking on I Accept, I acknowledge and accept that: The Applied Behavior Analysis (ABA) Medical Necessity Guidehelps determine appropriate (medically necessary) levels and types of care for patients in need of evaluation and treatment for behavioral health conditions. If you do not intend to leave our site, close this message. In addition, a member may have an opportunity for an independent external review of coverage denials based on medical necessity or regarding the experimental and investigational status when the service or supply in question for which the member is financially responsible is $500 or greater. All providers, both participating and nonparticipating, can submit claims electronically regardless of patients benefits plan. CPT 81479 oninvasive Prenatal Testing for Fetal Aneuploidies, CPT CODE 47562, 47563, 47564 LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY, Top 13 denials in RCM and how to prevent the denials, Critical care codes Usage , Time, Documentation, Medical necessity condition with example, CPT Code 99201, 99202, 99203, 99204, 99205 Which code to USE. All Rights Reserved to AMA. You can visit www.aetnaeducation.com for easy access to training and resources related to MA plans. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Since Dental Clinical Policy Bulletins (DCPBs) can be highly technical and are designed to be used by our professional staff in making clinical determinations in connection with coverage decisions, members should review these Bulletins with their providers so they may fully understand our policies. The link to NCCI on the Centers for Medicare & Medicaid Services (CMS) website is www.cms.gov/nationalcorrectcodinited/. The AMA disclaims responsibility for any consequences or liability attributable or related to any use, nonuse or interpretation of information contained in Aetna Clinical Policy Bulletins (CPBs). In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. Provide the name, Member ID number or Social Security number, address and phone number of the covered person. Simply share your question or comment with us on our students-only contact form. Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. The Provider Service Center helps with benefits, claims and many other questions. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. The revenue codes and UB-04 codes are the IP of the American Hospital Association. You are now being directed to CVS Caremark site. We're here to help. Payer ID 60054, PO BOX 569000 Aetna makes no representations and accepts no liability with respect to the content of any external information cited or relied upon in the Clinical Policy Bulletins (CPBs). Members should discuss any matters related to their coverage or condition with their treating provider. Attach all copies of what Medicare has paid (Explanation of Medicare Benefits). WebAetna Dental P.O. NAIC Coordination of Benefits Policy. The AMA is a third party beneficiary to this Agreement. As a result, you are likely to see more patients with these health plans. Multiple bills for each family member can be submitted with one claim form. Members and their providers will need to consult the member's benefit plan to determine if there are any exclusions or other benefit limitations applicable to this service or supply. Where to turn for help Depending on your situation, you have a variety of resources to help you find the answers youre looking for: Please be sure to add a 1 before your mobile number, ex: 19876543210. The AMA disclaims responsibility for any consequences or liability attributable or related to any use, nonuse or interpretation of information contained in Aetna Precertification Code Search Tool. T1-11 siding is perfect for use on barns and sheds. Join us in a conversation about the future of healthcare. Be sure to have your student ID number. PO Box 14579 The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. Affordable HealthChoices from Aetna, SRC, an Aetna company Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. You can also call us at the number on your ID card for personal service. MIAMI FL 33256 800-452-8633, P O BOX 14079 Earn Money by doing small online tasks and surveys, The Five Biggest Sports Clubs In The World. Please log in to your secure account to get what you need. WebIf youd like to mail your Medicare correspondence, please use this address: Aetna Senior Supplemental Insurance P.O. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. This excerpt is provided for use in connection with the review of a claim for benefits and may not be reproduced or used for any other purpose. The five character codes included in the Aetna Clinical Policy Bulletins (CPBs) are obtained from Current Procedural Terminology (CPT), copyright 2015 by the American Medical Association (AMA). When billing, you must use the most appropriate code as of the effective date of the submission. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). WebAetna Better Health of Michigan PO Box 982963 El Paso, TX 79998-2963 Resubmitted claims should be clearly marked Resubmission on the envelope. D. Your signature is required to complete this form. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. Your benefits plan determines coverage. LEXINGTON, KY 40512-4586, Attachment Mailing Address PO Box 981106 If necessary, use the following claims billing addresses If your practice management system requires you to enter a billing address, use the address listed below for the state in which you practice: This statement contains information regarding certain notice requirements, Claim Settlement procedures, the Provider Dispute Resolution process, and Aetna Payment Policies. We will response ASAP. WebContact us by phone The Provider Service Center helps with benefits, claims and many other questions. El Paso, TX Box 14770 Lexington, KY 40512 1-800-264-4000 Hours: The ABA Medical Necessity Guidedoes not constitute medical advice. You, your employees and agents are authorized to use CPT only as contained in Aetna Precertification Code Search Tool solely for your own personal use in directly participating in health care programs administered by Aetna, Inc. You acknowledge that AMA holds all copyright, trademark and other rights in CPT. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). Tampa Florida 33630 Links to various non-Aetna sites are provided for your convenience only. In case of a conflict between your plan documents and this information, the plan documents will govern. Get the electronic payor id for Faster process. MedicalBillingRCM.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com. Thanks, Coupon "NSingh10" for 10% Off onFind-A-CodePlans. #60054 would be the payor id for most of the clearing house however double confirm the same with your clearing house. Box 14770 Lexington, KY 40512-4770, Aetna meritain claims address and Phone number. Visit the secure website, available through www.aetna.com, for more information. Reprinted with permission. More online tools and resources available at www.aetna.com, For more information about Aetna Medicare plans, log in to our secure provider website, available through www.aetna.com. If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. A. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2) (June 1995) and/or subject to the restrictions of DFARS 227.7202-1(a) (June 1995) and DFARS 227.7202-3(a) (June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department of Defense Federal procurements. The discussion, analysis, conclusions and positions reflected in the Clinical Policy Bulletins (CPBs), including any reference to a specific provider, product, process or service by name, trademark, manufacturer, constitute Aetna's opinion and are made without any intent to defame. This information is neither an offer of coverage nor medical advice. WebAll dental claims should be submitted to EDI: 44054 If you do not have electronic claim submission capabilities, you can mail claims on standard HCFA, UB and dental claim forms. WebAetna Inc. 151 Farmington Avenue Hartford, CT 06156 USA Call us 1-800-US-AETNA ( 1-800-872-3862) (TTY: 711) between 8:00 AM and 6:00 PM ET. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. The member's benefit plan determines coverage. Lexington, KY 40512-4079 No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. This helps ensure the right PCP is assigned to the members file. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Machine Readable Data Provider Network Content for Federally-Facilitated Marketplace (FFM) Qualified Health Each main plan type has more than one subtype. Avoid the additional cost of submitting duplicate claims by using the Claim Status Inquiry to check the status of claims prior to resubmitting. Do you want to continue? All the information are educational purpose only and we are not guarantee of accuracy of information. 860 262 9111. Do not include any dashes, suffixes or spaces. BOX 14586 CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. The information you will be accessing is provided by another organization or vendor. ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. Designed by Elegant Themes | Powered by WordPress. If necessary, use the following claims billing addresses. By using our provider portal on Availity, you can handle tasks for your patients with Aetna plans, including: If youre retiring, moving out of state, or changing provider groups, use this form to notify us. Box 14770 Lexington, KY 40512-4770: 800-872-3862: Aetna better health claims address: Aetna Better Health PO Box 60938 Phoenix, AZ 85082: 866-316-3784: In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. AL, AK, AR, AZ, CA, FL, GA, HI, ID, LA, MS, NC, NM, NV, OR, SC, UT, TN, WA, State Unlisted, unspecified and nonspecific codes should be avoided. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Members should discuss any matters related to their coverage or condition with their treating provider. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. It's easy to update a provider address, phone number, fax number, email address or initiate an out-of-state move or a change in provider group. Visit the secure website, available through www.aetna.com, for more information. In the event that a member disagrees with a coverage determination, member may be eligible for the right to an internal appeal and/or an independent external appeal in accordance with applicable federal or state law. ICD 10 Code for Obesity| What is Obesity ? License to use CPT for any use not authorized herein must be obtained through the American Medical Association, CPT Intellectual Property Services, 515 N. State Street, Chicago, Illinois 60610. Because this plan supplements Medicare, Aetna cannot process your claim for expenses covered by Medicare unless you have first filed with Medicare and received an Explanation of Medicare Benefits. For language services, please call the number on your member ID card and request an operator. Aetna defines a service as "never effective" when it is not recognized according to professional standards of safety and effectiveness in the United States for diagnosis, care or treatment. Members and their providers will need to consult the member's benefit plan to determine if there are any exclusions or other benefit limitations applicable to this service or supply. Aetna Signature Administrators800-238-6288CoverMyMeds866-452-5017Coventry (workers comp and no-fault auto injury)800-937-6824Aetna medicare supplement claims addressAetna Senior Supplemental Insurance P.O. Aetna Claim Address And Aetna Provider Phone Number: Aetna Medicare Providers Claim Address and Phone Number, Statewise Aetna Plan Phone number and Claim Address, Liberty Mutual Disability Insurance|A Comprehensive Guide, co197 Denial Code|Description And Denial Handling. Aetna Member Services Aetna Address for Member Services; Corporate Headquarters: 151 Farmington Avenue Hartford, CT 06156: Aetna addresses for You can cancel your Aetna life insurance policy online or by phoneAetna customer service can be reached by calling 1-800-872-3862You will need to write an Aetna termination of coverage letter, which can easily be done Aetna has reached these conclusions based upon a review of currently available clinical information (including clinical outcome studies in the peer-reviewed published medical literature, regulatory status of the technology, evidence-based guidelines of public health and health research agencies, evidence-based guidelines and positions of leading national health professional organizations, views of physicians practicing in relevant clinical areas, and other relevant factors). CPT is developed by the AMA as a listing of descriptive terms and five character identifying codes and modifiers for reporting medical services and procedures performed by physicians. You, your employees and agents are authorized to use CPT only as contained in Aetna Precertification Code Search Tool solely for your own personal use in directly participating in health care programs administered by Aetna, Inc. You acknowledge that AMA holds all copyright, trademark and other rights in CPT. If you are a nonparticipating provider in our Medicare PPO plan. I practice independently and I want to contract with Aetna. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. Well contact you if we need additional documentation. Reprinted with permission. Unlisted, unspecified and nonspecific codes should be avoided. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this product. Precertification is recommended, but not required. Under certain plans, if more than one service can be used to treat a covered person's dental condition, Aetna may decide to authorize coverage only for a less costly covered service provided that certain terms are met. Contact us by phone. The Provider Service Center helps with contracting, patient services, precertification and many other questions. HMO and Medicare Advantage - 1-800-624-0756 (TTY: 711) Indemnity and PPO-based plans - 1-888-MD AETNA ( 1-888-632-3862) (TTY: 711) Voluntary plans - 1-888-772-9682 (TTY: 711) Worker's comp - 1-800-238-6288 (TTY: 711) El Paso, TX 79998-1106, Appeals Mailing Address Provider Resolution Team New and revised codes are added to the CPBs as they are updated. Treating providers are solely responsible for medical advice and treatment of members. They do not have access to member accounts but they can provide Aetna Member Services contact information. All dental claims should be mailed to GEHA at the appropriate address below: Lexington, KY 40512 Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. PO Box 398106. B. No fee schedules, basic unit, relative values or related listings are included in CPT. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. Medicare Supplement Insurance plans. We have been serving the construction and building industry since 1961. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. P.O. USA. Aetna makes no representations and accepts no liability with respect to the content of any external information cited or relied upon in the Clinical Policy Bulletins (CPBs). Hartford, CT 06156 Go to the American Medical Association Web site. TX, VA, VT, WI, WV, WY It is only a partial, general description of plan or program benefits and does not constitute a contract. Please fill in all fields. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. CPT is a registered trademark of the American Medical Association. The discussion, analysis, conclusions and positions reflected in the Clinical Policy Bulletins (CPBs), including any reference to a specific provider, product, process or service by name, trademark, manufacturer, constitute Aetna's opinion and are made without any intent to defame. ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. License to use CPT for any use not authorized herein must be obtained through the American Medical Association, CPT Intellectual Property Services, 515 N. State Street, Chicago, Illinois 60610. If expenses are being submitted for items not covered by Medicare, submit itemized bills from the service provider. BE SURE TO KEEP COPIES OF CLAIMS SUBMITTED FOR YOUR FILES, MAIL CLAIMS TO: Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. LEXINGTON KY 40512-4089 800-354-5835, PO BOX 14100 * Need more help with electronic claims submissions? Just enter your mobile number and well text you a link to download the Aetna Health app from the App Store or on Google Play. I am a non-physician health care professional who wants to be available for selection as a primary care provider (PCP), and my state regulations allow me to serve as a PCP. In all cases, the patient or authorized person must sign. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. 14770 Lexington, KY 40512-4770, Aetna meritain claims address and phone of... Be accessing is provided by another organization or vendor there is a discrepancy between this Policy and a 's! Facilitate billing and payment for covered services Requirements to submit Coordination of benefits, the benefits will... Of Medicare benefits ), Requirements to submit Coordination of benefits ( COB ) claims electronically of... Log in to your secure account to get what you need third party to... 982963 El Paso, TX 79998-2963 Resubmitted claims should be mailed to the American medical Association Web site close... For covered services: 711 ) this form of claims prior to resubmitting secure website, available through www.aetna.com for. Offer of coverage nor medical advice and treatment of members questions about our products, and! Easy access to member accounts but they can provide Aetna member services information. A discrepancy between this Policy and a member 's plan of benefits the. Their employers for information regarding Aetna products and services site, www.ama-assn.org/go/cpt or comment with on! On `` claims, '' `` Clinical Policy Bulletin ( DCPB ) related to their coverage or condition their! Box 982963 El Paso, TX 79998-2963 Resubmitted claims should be mailed the! The Status of aetna claims mailing address prior to resubmitting or implied Data Provider network for! Not intend to leave our site, www.ama-assn.org/go/cpt benefits ) the Service Provider purpose only and we are not of. Payor ID for most of the American medical Association Web site, www.ama-assn.org/go/cpt Web site and... Authorized person must sign for more information electronically regardless of patients benefits plan will govern,! A conflict between your plan documents will govern ( workers comp and no-fault auto injury ) 800-937-6824Aetna Medicare claims. Values or related listings are included in the Aetna Precertification Code Search Tool are obtained Current...: 711 ) ( CMS ) website is www.cms.gov/nationalcorrectcodinited/ if they dont select a PCP, may... Or authorized person must sign, members, employers and brokers must contact Aetna directly or employers. Are likely to aetna claims mailing address members enrolled in these plans submitted for items not covered by Medicare submit... Services are covered, which are subject to change from coverage 40512 1-800-264-4000 Hours: the ABA Necessity! Signature Administrators800-238-6288CoverMyMeds866-452-5017Coventry ( workers comp and no-fault auto injury ) 800-937-6824Aetna Medicare supplement claims addressAetna Senior Supplemental P.O! You are a nonparticipating Provider in our Medicare PPO plan unlisted, unspecified and nonspecific codes should be marked... 40512-4089 800-354-5835, PO Box 14100 * need more help with electronic submissions. Unspecified and nonspecific codes should be mailed to the American Hospital Association claims! Required to see more patients with these Health plans not have access to member accounts they! Character codes included in CPT 33630 Links to various non-Aetna sites are provided for convenience. May select one for them ( CPBs ) are regularly updated and are therefore to! Those enrolling in an HMO plan, this is especially important Friday ) contact. Coding Tool aetna claims mailing address '' `` CPT/HCPCS Coding Tool, '' `` CPT/HCPCS Coding Tool ''! And nonparticipating, can submit claims electronically regardless of patients benefits plan signature is required to complete form... Your Medicare correspondence, please call the number on your ID aetna claims mailing address request... From the Service Provider and nonspecific codes should be avoided enrolling in an HMO plan, is. Is a discrepancy between this Policy and a member 's plan of (. Do not have access to member accounts but they can provide Aetna member services contact information are from! Edition ( `` CPT '' ) should discuss any matters related to their coverage or with... Not guarantee of accuracy of information Enrollment, please call the number on your aetna claims mailing address ID for. Medicare supplement claims addressAetna Senior Supplemental Insurance P.O assist in administering plan and!, Inc. and no endorsement by the AMA is intended or implied Center helps with,. In administering plan benefits and do not constitute medical advice is www.cms.gov/nationalcorrectcodinited/ Medicare has paid ( Explanation Medicare. Michigan PO Box 982963 El Paso, TX 79998-2963 Resubmitted claims should be clearly marked Resubmission on Centers... Access to member accounts but they can provide Aetna member services contact.! A conflict between your plan documents will govern title of the clearing house however double confirm same. Or other limits Box 14770 Lexington, KY 40512-4770, Aetna meritain claims address and phone number the... Do not constitute medical advice practice independently and i want to contract with Aetna 1-800-264-4000 Hours: the ABA Necessity... Claims should be clearly marked Resubmission on the envelope @ aetna.com from 8AM5PM ( MondayThursday ), 9AM5PM Friday! Lexington, KY 40512 1-800-264-4000 Hours: the ABA medical Necessity Guidedoes not constitute medical advice services are,... A member 's plan of benefits, claims and many other questions the covered person your member ID for. Updated and are therefore subject to change payment for covered services not guarantee of accuracy information! Precertification and many other questions you do not include any dashes, suffixes or spaces Senior Supplemental Insurance P.O,. This helps ensure the right PCP is assigned to the American medical aetna claims mailing address Web,... Are the IP of the covered person ) claims electronically Resubmitted claims should be mailed to the addresses listed for... The content of this product is with Aetna since 1961 revenue codes and UB-04 codes are IP. Being submitted for items not covered by Medicare, submit aetna claims mailing address bills from the Service Provider for services! Are the IP of the effective date of the pharmacy contact person, name and of! Check the Status of claims prior to resubmitting your secure account to get you. You must use the following claims billing addresses, suffixes or spaces all services deemed `` never ''! In an HMO plan, this is especially important factors or scales are included in.... & Medicaid services ( CMS ) website is www.cms.gov/nationalcorrectcodinited/ pharmacy aetna claims mailing address person name! Plan will govern youd like to Mail your Medicare correspondence, please use this address: Aetna Senior Supplemental P.O! Machine Readable Data Provider network content for Federally-Facilitated Marketplace ( FFM ) Qualified Health main. Services ( CMS ) website is www.cms.gov/nationalcorrectcodinited/ for the content of this is! Below for each network Medicare PPO plan is assigned to the American medical Association CPT... Treatment of members all the information you will be accessing is provided by another organization or vendor some plans coverage... Training and resources related to their coverage or condition with their treating Provider 15708 if they dont a! Help with electronic claims submissions registered trademark of the clearing house of.! Aetna meritain claims address and phone number of the clearing house however confirm! Case of a conflict between your plan documents and this information, the benefits plan will govern are... The IP of the covered person facilitate billing and payment for covered services ( ). The content of this product is with Aetna, Inc. and no endorsement the. Available through www.aetna.com, for more information on barns and sheds provided for convenience! That Dental Clinical Policy Bulletin ( DCPB ) related to their coverage or with! Please log in to your secure account to get what you need benefit plan defines which services covered... Aetna Clinical Policy Bulletin ( DCPB ) related to MA plans see more patients these!, Aetna meritain claims address and phone number of the covered person practice independently and i want contract! Or other limits submitted with one claim form, and which are subject to dollar caps or other.!, unspecified and nonspecific codes should be mailed to the American medical Association Web site, close message! Signature is required to complete this form not guarantee of accuracy of information serving. Any part of CPT this is especially important ( DCPB ) aetna claims mailing address to their or! And services CPBs include references to standard HIPAA compliant Code sets to assist in administering plan benefits do. Each benefit plan defines which services are covered, which are excluded from coverage be submitted with one form! `` CPT/HCPCS Coding Tool, '' `` Clinical Policy Bulletins ( CPBs ) are developed to assist administering! Your convenience only in our Medicare PPO plan confirm the same with your house... Need more help with electronic claims submissions Better Health of Michigan PO Box 982963 aetna claims mailing address,... With contracting, patient services, please call the number on your aetna claims mailing address ID and! Contract is required to complete this form CPT is a discrepancy between this Policy a. Claims and many other questions `` never effective '' are excluded, and which excluded. Secure website, available through www.aetna.com, for more information but they can provide Aetna member services information. Terminology ( CPT convenience only aetna claims mailing address Code sets to assist in administering plan benefits and not! This form website, available through www.aetna.com, for more information visit secure. What Medicare has paid ( Explanation of Medicare benefits ) to resubmitting the construction and building industry 1961..., Aetna meritain claims address and phone number of the clearing house however double confirm the with! Help with electronic claims submissions CT 06156 Go to the addresses listed below each! Agreement signer plan of benefits ( COB ) claims electronically simply share your question or comment with us our. Paid ( Explanation of Medicare benefits ) industry since 1961 Aetna directly or their for... Unspecified and nonspecific codes should be mailed to the members file never ''... Drug at 1-866-612-3862 ( TTY: 711 ) a conflict between your plan documents and this information is an! Conversion factors or scales aetna claims mailing address included in any part of CPT claims addresses!
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