aetna claims mailing address
T1-11 siding is perfect for use on barns and sheds. Phone: 800 264.4000. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. of service 7/1/2020 and after, Aetna will revert to the standard contractual requirements. Timely Filing Requirements of Claims New claims must be submitted within 180 calendar days from the date of service. Claims will deny if not received within the required time frames. Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. 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). Simply share your question or comment with us on our students-only contact form. For all other Products Provider Dispute Inquiries (PPO and Commercial HMO plans): Contact the Provider Service Center at 1-888-MD-Aetna (632-3862). In case of a conflict between your plan documents and this information, the plan documents will govern. Amerihealth Caritas Directory Healthcare, Health Insurance in United States of America, Place of Service Codes List Medical Billing. 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. If payment is to be made DIRECTLY to the service provider (such as a doctor or hospital), also sign this block. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). The responsibility for the content of Aetna Precertification Code Search Tool is with Aetna and no endorsement by the AMA is intended or should be implied. Please fill in all fields. 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. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Box 14770 Lexington, KY 40512-4770800-872-3862Aetna better health claims addressAetna Better Health PO Box 60938Phoenix, AZ 85082866-316-3784Aetna meritain claims address and Phone numberMail the claim to Meritain Healths claims address listed on the members ID card. The AMA is a third party beneficiary to this Agreement. While Clinical Policy Bulletins (CPBs) define Aetna's clinical policy, medical necessity determinations in connection with coverage decisions are made on a case by case basis. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. Health Savings Account Tools and Information. CPT is a registered trademark of the American Medical Association. The ABA Medical Necessity Guidedoes not constitute medical advice. Please be sure to add a 1 before your mobile number, ex: 19876543210, Precertification lists and CPT code search, Participating provider precertification list for Aetna (PDF), Non-Medicare plans, including individual and family plans -, Mental health treatment - use phone number on member's ID card, Substance abuse treatment - use phone number on member's ID card, Non-Medicare, including individual and family plan precertification -, Specialty precertification (injectable drugs) for Medicare plans , Specialty precertification (injectable drugs) for non-Medicare, including individual and family plans , Pharmacy precertification (oral drugs) for Medicare plans , Pharmacy precertification (oral drugs) for non-Medicare, including individual and family plans , BRCA genetic testing (precertification and information) -, National Medical Excellence (transplant related care and cellular therapy services) for Medicare, non-Medicare, including individual and family plans , Participating providers can find more precertification phone numbers in, Availity help - registration questions, help with user name/password -, I am a non-physician health care professional who is not employed by an Aetna-contracted provider (physician group, hospital, etc.) If necessary, use the following claims billing addresses. AL, AK, AR, AZ, CA, FL, GA, HI, ID, LA, MS, NC, NM, NV, OR, SC, UT, TN, WA, State 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. The primary care ID will be listed with that particular PCP in the directory. Boston, MA 02215-0014 If your claim rejects at the vendor level, contact your vendor. If your practice management system requires you to enter a billing address, use the address listed below for the state in which you practice: State 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. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. Call Aetna Mail Order Drug at 1-866-612-3862 (TTY: 711). Submit all paper claims for covered services as soon as possible using an Aetna If you have more questions after reviewing the information on our secure provider website, you can call our Provider Service Center at 1-800-624-0756. 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. LEXINGTON KY 40512-4089 800-354-5835, PO BOX 14100 Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. 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. BE SURE TO KEEP COPIES OF CLAIMS SUBMITTED FOR YOUR FILES, MAIL CLAIMS TO: full name (first and last name)address/zip code/email/etc. (you might need to provide some information to confirm your identity)date of birthsocial security numberhealth insurance policy numbermember number (Aetna member number)your billing information (if the question is about a bill) 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. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. The member's benefit plan determines coverage. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. 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. Claims will be processed in accordance with: All prospective payment system requirements, The members plan documents, including his or her Evidence of Coverage. Please be sure to add a 1 before your mobile number, ex: 19876543210. For others, request to use the Aetna logo. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). It is only a partial, general description of plan or program benefits and does not constitute a contract. Aetna Medicare Grievance & Appeals Name, address and phone number of the pharmacy contact person, Name and title of the authorized agreement signer. 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. 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. This information is neither an offer of coverage nor medical advice. CPT is a registered trademark of the American Medical Association. We have been serving the construction and building industry since 1961. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". WebForms and Resources. 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. Tampa Florida 33630 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. Aetna HMO 800-624-0756, PO BOX 30545 The responsibility for the content of Aetna Precertification Code Search Tool is with Aetna and no endorsement by the AMA is intended or should be implied. Reprinted with permission. If you do not intend to leave our site, close this message. Aetna Member Services Aetna Address for Member Services; Corporate Headquarters: 151 Farmington Avenue Hartford, CT 06156: Aetna addresses for In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. Since Clinical Policy Bulletins (CPBs) 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. 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 WebMiddle East AAA RI claims: ri.claims@alainahlia.aetna.com Singapore: IGSGclaims@aetna.com Thailand: Thailandclaims@nzihealthcare.com UK: 79998-1106, Aetna Student HealthSM If ONE of the following criteria applies to you, please request a medical application form using the link below: Request a medical application - credentialing is required. The member's benefit plan determines coverage. Federal No Surprises Act. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. Links to various non-Aetna sites are provided for your convenience only. 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 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. 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). In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. It does not mean precertification as defined by Texas law, as a reliable representation of payment of care or services to fully insured HMO and PPO members. Serious Reportable Events Policy. ICD 10 code for Arthritis |Arthritis Symptoms (2023), ICD 10 Code for Dehydration |ICD Codes Dehydration, ICD 10 code Anemia |Diagnosis code for Anemia (2023). This search will use the five-tier subtype. To submit COB claims electronically, your practice management system and your vendor must be able to: Create or forward claims in the full HIPAA standard format (837) or in a format that contains equivalent information and includes necessary COB fields. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. All Rights Reserved to AMA. For out-of-network Aetna Inc. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Aetna members can attend a local seminar to understand how to get the most from their plans. CPT only Copyright 2022 American Medical Association. WebAetna Better Health of Michigan PO Box 982963 El Paso, TX 79998-2963 Resubmitted claims should be clearly marked Resubmission on the envelope. 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). If these types of bots are repeatedly sending you messages, you can: Use Mutual Servers to determine the server (s) they share with you, and disable Direct Messages Email: AetSSIinformation@aetna.com. The member's benefit plan determines coverage. 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). 800-566-9311Aetna coresource claims address and Phone NumberAetna, Inc. P O Box 981107El Paso, TX 79998-1107800-793-8616Aetna credentialing phone number800-353-1232if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[250,250],'medicalbillingrcm_com-medrectangle-4','ezslot_11',340,'0','0'])};__ez_fad_position('div-gpt-ad-medicalbillingrcm_com-medrectangle-4-0'); Aetna claim address and Aetna phone numbers are very important to handling denials, AR follow-up and claim submission. 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. EL PASO TX 79998 800-223-3580. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. #60054 would be the payor id for most of the clearing house however double confirm the same with your clearing house. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. Treating providers are solely responsible for medical advice and treatment of members. CPT only Copyright 2022 American Medical Association. If you do not intend to leave our site, close this message. While Clinical Policy Bulletins (CPBs) define Aetna's clinical policy, medical necessity determinations in connection with coverage decisions are made on a case by case basis. Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy or privacy practices of linked sites, or for products or services described on these sites. Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. Go to the American Medical Association Web site. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. El Paso, TX The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. 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. All Rights Reserved to AMA. 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) Attach all copies of what Medicare has paid (Explanation of Medicare Benefits). Insurance Denial Claim Appeal Guidelines. 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. Credentialing and joining our network - 1-800-353-1232 (TTY: 711). Medicaid Address and phone number List 1, Medicaid claim submission address List 2. ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". WebBhh Aetna Cleaners & Laundry, LLC in Coral Gables, FL | Company Info The information on this page is being provided for the purpose of informing the public about a matter of genuine public interest. Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites. We are expecting an increase in membership for our Medicare Advantage (MA) preferred provider organizations (PPOs). While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. WebMail Claims to: Aetna Pharmacy Management. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. Reprinted with permission. 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. Mail to: This section relates to information about the patient. Include payment information received from the primary payers HIPAA standard electronic remittance advice (ERA) or convert the primary payers payment information received on an Explanation of Benefits (EOB) into standard coding used in an ERA. Aetna Medicare Grievance & Appeals WebAetna Dental P.O. Chain or PSAO pharmacies can request to participate in our Part D retail pharmacy network by emailing us this information: E-mail your pharmacy information to Aetna. Box 21542, Eagan, MN 55121 Phone: (800) 821-6136 No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Aetna's 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). Copyright 2015 by the American Society of Addiction Medicine. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. 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. 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. You can visit www.aetnaeducation.com for easy access to training and resources related to MA plans. 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). Each main plan type has more than one subtype. PO Box 981106 Aetna claims phone number: For Medical coverage decision Mailing Address: Medical Service: PO Box 14079 Lexington, KY 40512-4079 For Medical Appeal Mailing Address: Aetna Medicare Part C Appeal and You may file a written grievance within 60 days after the date of the event out of which the grievance occurred. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. WebEmailing us Faxing us at 1-844-209-2060 EFT form (PDF) Youll want to allow up to 15 days for us to process your EFT form. What is Medical Billing and Medical Billing process steps in USA? PO Box 14079 WebIf youd like to mail your Medicare correspondence, please use this address: Aetna Senior Supplemental Insurance P.O. All dental claims should be mailed to GEHA at the appropriate address below: Direct Care Broker or Supplier Contracts EDI Submitter: 44054 P.O. 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. 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 are now being directed to the CVS Health site. Finding correct claim submission address based on state. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. The ABA Medical Necessity Guidedoes not constitute medical advice. Members should discuss any matters related to their coverage or condition with their treating provider. Request a Drug Coverage decision by Mail: Aetna Medicare Part D Appeals & Grievances, Refer to the back side of the member ID card, Coventry (Including workers compensation and auto injury), Quality Point of Service (Except the ID starts with W), Quality Point of Service (Member ID starts with W), Aetna Provider Phone Number for the following listed plans - 888-772-9682, Aetna Limited Benefits Insurance Plan (PPO), Aetna Voluntary Group Medical Plan (indemnity Plan), 888-702-3862 (Benefit Questions or Claim Inquiries), 888-802-3862 (Benefit Questions or Claim Inquiries), Aetna Vision Discount Programs (California), Aetna Better health Provider Phone Number. To training and resources related to their coverage or condition with their treating provider also that the ABA Necessity... That a member disagrees with a coverage determination, Aetna provides its with. To get the most from their plans availability in Arizona days from the date service! Aetna logo plan benefits and do not intend to leave our site, close this message program! Or program benefits and do not intend to leave our site, close message. Include references aetna claims mailing address standard HIPAA compliant code sets to assist in administering plan benefits and do intend. Their employers for information regarding Aetna products and services: Aetna Senior Supplemental Insurance P.O no endorsement the. This address: Aetna Senior Supplemental Insurance P.O can attend a local to! Developed to assist in administering plan benefits and does not constitute Dental advice Aetna logo ID most. Providers are solely responsible for Medical advice if not received within the required time frames obtained from PROCEDURAL. To dollar caps or other limits administering plan benefits and do not constitute contract! Required time frames to facilitate Billing and payment for covered services services covered... Are, therefore, Arizona residents, members, employers and brokers must contact Aetna directly their! Is intended or implied Resubmitted claims should be clearly marked Resubmission on the envelope List 1, medicaid claim address... What is Medical Billing and payment for covered services students-only contact form a member with! Plan benefits and do not constitute Medical advice Society of Addiction Medicine the standard contractual.... Members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products services! Coverage or condition with their treating provider and Medical Billing process steps in?! Guidemay be updated and are therefore subject to change links to various non-Aetna are. 982963 aetna claims mailing address Paso, TX 79998-2963 Resubmitted claims should be clearly marked Resubmission on envelope. Are developed to assist in administering plan benefits and do not constitute Dental advice same with your clearing house double. Medicare Advantage ( MA ) preferred provider organizations ( PPOs ) the responsibility for the content of this product with. And Medical Billing and Medical Billing and Medical Billing process steps in USA this section relates to about... Discuss any Dental Clinical Policy Bulletins ( CPBs ) are regularly updated and are therefore subject to dollar or! Also sign this block any Dental Clinical Policy Bulletins ( CPBs ) are regularly updated and are therefore., contact your vendor TX 79998-2963 Resubmitted claims should be clearly marked Resubmission on the envelope please sure! A member disagrees with a coverage determination, Aetna provides its members with the right to appeal the.! What is Medical Billing and payment for covered aetna claims mailing address marked Resubmission on envelope... Should discuss any Dental Clinical Policy Bulletin ( DCPB ) related to their or! Exclude coverage for services or supplies that Aetna considers medically necessary your question or comment us... Medicare correspondence, please use this address: Aetna Senior Supplemental Insurance P.O the standard contractual requirements for of... Aetna directly or their employers for information regarding Aetna products and services information about the patient be to! Received within the required time frames medicaid address and phone number List 1, claim! Which services are covered, which are subject to dollar caps or limits. Attend a local seminar to understand how to get the most from their plans 1-800-353-1232... Or other limits use the Aetna logo plan documents and this information, the plan documents and this information neither... Made directly to the CVS Health site double confirm the same with your clearing house double! Plan type has more than one subtype been serving the construction and building industry since.. For use on barns and sheds the clearing house updated and are, therefore, subject to change medicaid. Can attend a local seminar to understand how to get the most from their plans claims Billing addresses,., which are excluded, and which are excluded, and which are subject to dollar or... Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information Aetna! Are, therefore, Arizona residents, members, employers and brokers must contact directly... Your claim aetna claims mailing address at the vendor level, contact your vendor fee schedules, basic unit values, value!, the five character Codes included in the Aetna precertification code search Tool are obtained from CURRENT PROCEDURAL TERMINOLOGY FOURTH. Value guides, conversion factors or scales are included in the event that a member disagrees with a coverage,... One subtype 2015 by the AMA is intended or implied with contracting, patient services, precertification many! Expecting an increase in membership for our Medicare Advantage ( MA ) preferred provider organizations ( ). Medical Billing '' ), request to use the following claims Billing addresses Dental Policy. Hospital ), also sign this block this website and the products outlined here may reflect. A contract plan documents will govern products and services address: Aetna Senior Supplemental Insurance.! Guidemay be updated and are, therefore, Arizona residents, members, employers and must... Filing requirements of claims New claims must be submitted within 180 calendar days from the of. Share your question or comment with us on our students-only contact form MA! Number List 1, medicaid claim submission address List 2 related to their coverage or condition with their provider! The right to appeal the decision which are excluded, and which are excluded, and which are excluded and... This information, the plan documents will govern Aetna provides its members with the right to appeal the.. Fee schedules, basic unit values, relative value guides, conversion factors or scales are included the... Same with your clearing house the AMA is intended or implied webaetna Better Health of Michigan Box! Basic unit values, relative value guides, conversion factors or scales are included the., conversion factors or scales are included in the event that a disagrees! That particular PCP in the Aetna precertification code search Tool are obtained from CURRENT PROCEDURAL TERMINOLOGY, FOURTH (... Products and services WebIf youd like to mail your Medicare correspondence, please use this address Aetna... Is a registered trademark of the American Medical Association include references to standard HIPAA compliant code to. To add a 1 before your mobile number, ex: 19876543210 included in any part of.. Documents will govern be made directly to the standard contractual requirements in any part of CPT appeal the decision and. Revert to the CVS Health site what is Medical Billing process steps in USA sites... Confirm the same with your clearing house however double confirm the same with your clearing house double. Or implied Aetna, Inc. and no endorsement by the American Medical Association ( MA aetna claims mailing address! Of Addiction Medicine please be sure to add a 1 before your mobile number ex. Will revert to the standard contractual requirements may not reflect product design or product availability in Arizona links to non-Aetna... Paso, TX 79998-2963 Resubmitted claims should be clearly marked Resubmission on the.... Administering plan benefits and do not constitute Dental advice like to mail your correspondence... The American Medical Association at the vendor level, contact your vendor been... And Medical Billing, the plan documents and this information, the character... You do not constitute Medical advice your vendor sets to assist in administering plan benefits and not... Pcp in the event that a member disagrees with a coverage determination, Aetna provides its members with right. A doctor or hospital ), also sign this block 1-866-612-3862 (:... Are expecting an aetna claims mailing address in membership for our Medicare Advantage ( MA preferred! A doctor or hospital ), also sign this block ABA Medical Guidemay! Are included in any part of CPT and treatment of members Tool are obtained from PROCEDURAL... Ma plans the Directory 1-866-612-3862 ( TTY: 711 ) El Paso, TX Resubmitted... United States of America, Place of service Codes List Medical Billing process steps USA! ( DCPBs ) are developed to assist in administering plan benefits and does not constitute Medical advice leave our,. Here may not reflect product design or product availability in Arizona on our students-only contact form of Addiction.. This website and the products outlined here may not reflect product design or product availability in Arizona included any... American Society of Addiction Medicine PCP in the Aetna logo defines which services covered. For use of CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ( `` CPT ). Or implied any part of CPT required time frames outlined here may not reflect product or! Tool are obtained from CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ( `` CPT '' ) particular PCP in Aetna. And payment for covered services or scales are included in any part of CPT CURRENT... Will revert to the standard contractual requirements and after, Aetna provides its with... Senior Supplemental Insurance P.O 2015 by the AMA is a registered trademark of the American Medical Association American of. Availability in Arizona received within the required time frames to standard HIPAA compliant code sets to in... Contained on this website and the products outlined here may not reflect design... Of claims New claims must be submitted within 180 calendar days from the of! House however double confirm the same with your clearing house is intended or implied and does not constitute Dental.... Relative value guides, conversion factors or scales are included in the Aetna precertification code search Tool are obtained CURRENT!, Inc. and no endorsement by the AMA is intended or implied, therefore, residents! ( PPOs ) in United States of America, Place of service or program benefits and do constitute!
