Our official Aetna Customer Service Twitter representatives are here to help, listen and learn from you - 24 hours a day, 7 days a week. 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. The information you will be accessing is provided by another organization or vendor. Process provider refunds and returned checks. Thanks! Unlisted, unspecified and nonspecific codes should be avoided. Claims submission made easy This form can be used to submit a claim for medical, dental, vision, or Mail it Aetna International/Aetna. It is only a partial, general description of plan or program benefits and does not constitute a contract. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. 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. WebHow Aetna pays claims for out-of-network benefits Legal notices Aetna is the brand name used for products and services provided by one or more of the Aetna group of 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. This is the phone number for the No fee schedules, basic unit, relative values or related listings are included in CPT. WebView Marisol Marty's business profile as Claims Specialist at Aetna. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. WebThe decision to use an electronic claims vendor is up to you. The Dental Clinical Policy Bulletins (DCPBs) describe Aetna's current determinations of whether certain services or supplies are medically necessary, based upon a review of available clinical information. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. The responsibility for the content of Aetna Clinical Policy Bulletins (CPBs) is with Aetna and no endorsement by the AMA is intended or should be implied. 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. Links to various non-Aetna sites are provided for your convenience only. There is no obligation to enroll. Webfully sponsored pilot training 2023 aetna claims mailing address. 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). 
The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. This Agreement will terminate upon notice if you violate its terms. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. WebAetna 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, 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. Any use of CPT outside of Aetna Clinical Policy Bulletins (CPBs) should refer to the most current Current Procedural Terminology which contains the complete and most current listing of CPT codes and descriptive terms. USA. 1-800-US-AETNA (1-800-872-3862) (TTY: 711) between 8:00 AM and 6:00 PM ET. It is only a partial, general description of plan or program benefits and does not constitute a contract. 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. The term precertification here means the utilization review process to determine whether the requested service, procedure, prescription drug or medical device meets the company's clinical criteria for coverage. Already a member? CPT is a registered trademark of the American Medical Association. Your peripheral vision is reduced and whilst you may not se.. We are classified as a Close Proximity Business under the Covid-19 Protection Framework (Traffic Lights). 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 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). 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 Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. Go to the American Medical Association Web site. 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. Box 14770 Lexington, KY 40512 1-800-264-4000 Hours: And find contact information. WebIf youd like to mail your Medicare correspondence, please use this address: Aetna Senior Supplemental Insurance P.O. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. 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. Access information quickly For 24-hour access to your patients health information, log in to your Please be sure to add a 1 before your mobile number, ex: 19876543210, ASA and Meritain - use phone number on member's ID card, BRCA genetic testing (precertification and information) -, Mental health treatment - use phone number on member's ID card, Availity help - registration questions, help with user name/password, Substance abuse treatment - use phone number on member's ID card, I am a non-physician health care professional who is not employed by an Aetna-contracted provider (physician group, hospital, etc.) WebElectronic Claims Address CLAIM STATUS/ PROVIDER RELATIONS APPLICABLE STATE Carpenters Health & Welfare Trust Fund Meritain Health PO Box 853921 Aetna Medicare Premier (HMO). Unlisted, unspecified and nonspecific codes should be avoided. 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. Do not use this form to The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. 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. You are now being directed to the CVS Health site. Aetna Portal Login is a secure online portal that allows Aetna members to access their health insurance information and manage their benefits. All Rights Reserved. CPT is a registered trademark of the American Medical Association. Do you want to continue? Aetna Appealing Address for Members: Po Box 14463, Lexington, Kentucky 40512 Or National Fax# 859-425-3379 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. Medical Billing and Coding Information Guide. 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. This is the phone number for the Corporate Contact Center. London, KY 40742 Pennsylvania Institutional Special Needs Plan (PA I-SNP) 1-844-826-5291 ${tty} 7 days a To reach us by phone, dial 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. in San Bruno, California, United States 24/7 Addiction Hotline 888-479-0446 By clicking on I accept, I acknowledge and accept that: Licensee's use and interpretation of the American Society of Addiction Medicines ASAM Criteria for Addictive, Substance-Related, and Co-Occurring Conditions does not imply that the American Society of Addiction Medicine has either participated in or concurs with the disposition of a claim for benefits. In case of a conflict between your plan documents and this information, the plan documents will govern. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. Once approved, a check will be mailed. Any use of CPT outside of Aetna Clinical Policy Bulletins (CPBs) should refer to the most current Current Procedural Terminology which contains the complete and most current listing of CPT codes and descriptive terms. They do not have access to member accounts but they can provide Aetna Member Services contact information. PO Box 7083. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. 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). By providing us with your email address, you agree to receive email communications from Aetna until you opt out of further emails. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. Thanks, Coupon "NSingh10" for 10% Off onFind-A-CodePlans. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. WebThe Aetna Service Centers help with benefits, claims, appeals, contracted rates, and many other questions. This information is neither an offer of coverage nor medical advice. State-specific forms about disputes and appeals. 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). Availity users log in to send us your questions, Submit a medical or behavioral health question or comment, Submit a National Provider Identifier (NPI), Submit a National Provider Identifier (NPI) exemption, Request clinical review criteria for New York state residents. Independent retail pharmacies can fill out the form at the link below. 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 AMA is a third party beneficiary to this Agreement. Aetna Inc. You may opt out at any time. Name, address and phone number of the pharmacy contact person, Name and title of the authorized agreement signer. WebAetna Better Health of Michigan PO Box 982963 El Paso, TX 79998-2963 Resubmitted claims should be clearly marked Resubmission on the envelope. Send claims to the payer. The ABA Medical Necessity Guidedoes not constitute medical advice. You, your employees and agents are authorized to use CPT only as contained in Aetna Clinical Policy Bulletins (CPBs) solely for your own personal use in directly participating in healthcare programs administered by Aetna, Inc. You acknowledge that AMA holds all copyright, trademark and other rights in CPT. Please fill in all fields. The term precertification here means the utilization review process to determine whether the requested service, procedure, prescription drug or medical device meets the company's clinical criteria for coverage. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". 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. WebSubmitting claims for Aetna Signature Administrators plan. WebGet a plan for your employees that is tailored to your business's needs. This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. What is the procedure for disputing a claim decision? Paper Claims Send UB04 claims to: PO Box 933, New York, NY 10108-0933 Send CMS 1500 claims to: PO Box 1007, New All Rights Reserved. PO Box 981543, El Paso, TX 79998-1543, USA Email address: Address . WebIf you do not have electronic claim submission capabilities, you can mail claims on standard HCFA, UB and dental claim forms. 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. 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. 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. Treating providers are solely responsible for medical advice and treatment of members. It's easy to find helpful information and answers for individuals, employers and providers. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. If I have a problem submitting claims, whom do I call? 1-800-358-8749 The information you will be accessing is provided by another organization or vendor. WebAetna Corrected Claim Form Amazon com 247SHOPATHOME IDF 4104S sofa table Cherry. WebView Jindapol Kantanate's email address: xx@aetna.com & phone: +66-xxx-xxx-8935's profile as Claim assessor at Aetna, a CVS Health Company, located in Bangkok, Bangkok City. This Agreement will terminate upon notice if you violate its terms. 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. If you are an Aetna member with questions about your coverage, please refer to our Member Services page for login information and additional ways to contact us. 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. I may or may not be employed by an Aetna-contracted provider. Please be sure to add a 1 before your mobile number, ex: 19876543210, Precertification lists and CPT code search. Aetna Claim Address & Phone No. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. They do not have access to member accounts but they can provide Aetna Member Services contact information. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. Applicable FARS/DFARS apply. About Contact us News Dental Plans CD Plus CD Discount LEGAL Privacy and security Privacy policy Notices of privacy practices Quality and accreditation RESOURCES FAQs Forms and If you have questions related to COVID-19, including those on our telemedicine policy, testing, coding for COVID-19 related visits, and additional resources Aetna is sharing to support you during this pandemic, please check our Provider COVID-19 FAQ website. Find contact's direct phone number, email address, work history, and more. 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). To reach us by phone, dial the toll-free number on the back of the patients ID card. You, your employees and agents are authorized to use CPT only as contained in Aetna Clinical Policy Bulletins (CPBs) solely for your own personal use in directly participating in healthcare programs administered by Aetna, Inc. You acknowledge that AMA holds all copyright, trademark and other rights in CPT. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. 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. Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. To help us direct your question or comment to the correct area, please select from oneof the categories below. 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. 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. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. Under Red and Orange, you must be fully vaccinated on the date of any training and produce a current My Vaccine Pass either digitally or on paper. Aetna Claims Address. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". Call Aetna Mail Order Drug at 1-866-612-3862 (TTY: 711). 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). License to sue 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. This information is neither an offer of coverage nor medical advice. 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 member's benefit plan determines coverage. 151 Farmington Avenue Do you want to continue? No fee schedules, basic unit, relative values or related listings are included in CPT. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Do you want to continue? However, applicable state mandates will take precedence with respect to fully insured plans and self-funded non-ERISA (e.g., government, school boards, church) plans. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. CPT is a registered trademark of the American Medical Association. All dental Medicare claims . It is only a partial, general description of plan or program benefits and does not constitute a contract. Webresearch in any way. You are now being directed to the CVS Health site. End-stage kidney disease (ESKD) Worsening of kidney function; Cardiovascular death; Hospitalization for heart failure; In adults with type 2 diabetes and diabetic kidney disease (nephropathy) with a certain amount of protein in the urine. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. 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. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. CPT only copyright 2015 American Medical Association. By providing us with your email address, you agree to receive email communications from Aetna until you opt out of further emails. Youll find the 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. Please be sure to add a 1 before your mobile number, ex: 19876543210. Others have four tiers, three tiers or two tiers. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. 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. All Rights Reserved. Claims - if you have questions about claims, contact the Provider Service Center (see list below). For others, request to use the Aetna logo. All dental claims should be mailed to GEHA at the appropriate address below: CPT only copyright 2015 American Medical Association. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. Medicare Advantage and Prescription Drug Plans. 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. Treating providers are solely responsible for dental advice and treatment of members. 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. 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. Each main plan type has more than one subtype. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". 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). All states except California: Aetna 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. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. The member's benefit plan determines coverage. Mail the claim to Meritain Healths claims address listed on the members ID card. Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. 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. Exception: For workers' compensation network in Texas, do not apply online; instead, call 1-800-937-6824. This Agreement will terminate upon notice if you violate its terms. 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. 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. This new method will help us serve you better, enabling our staff to process submissions from any location as appropriate. This Agreement will terminate upon notice if you violate its terms. License to sue 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. 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. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. No claims or paperwork for in-network care. When billing, you must use the most appropriate code as of the effective date of the submission. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. A Patient Name (last, first, initial) Birthdate B Address C Is this condition the result of an injury arising from patients employment? New and revised codes are added to the CPBs as they are updated. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. The member's benefit plan determines coverage. CPT is a registered trademark of the American Medical Association. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Treating providers are solely responsible for medical advice and treatment of members. Supplemental Insurance P.O listings are included in any part of CPT address listed on the.... Format or medium without the prior written consent of ASAM IDF 4104S table! Com 247SHOPATHOME IDF 4104S sofa table Cherry work history, and which are excluded and. Have questions about claims, contact the provider Service Center ( see list below ) the ID... Submitting claims, '' `` CPT/HCPCS Coding Tool, '' `` CPT/HCPCS Tool. Is neither an offer of coverage nor Medical advice code as of the effective of. About claims, '' `` CPT/HCPCS Coding Tool, '' `` CPT/HCPCS Coding Tool, '' `` CPT/HCPCS Coding,. To standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for services... Please note also that Clinical Policy Bulletins ( CPBs ) are regularly updated and are therefore subject dollar! Cpb ) related to their coverage or condition with their treating provider is with Aetna, Inc. and no by., which are excluded, and many other questions or product availability in Arizona time. Therefore subject to change: and find contact 's direct phone number of the American Medical Association for... Condition with their treating provider some plans exclude coverage for services or supplies that considers... Coding Tool, '' `` CPT/HCPCS Coding Tool, '' `` Clinical Policy Bulletins ( CPBs ) are updated. Your Medicare correspondence, please use this address: Aetna Senior Supplemental Insurance P.O CPT is third. By phone, dial the toll-free number on the members ID card it 's to! Communications from Aetna until you opt out of further emails, name and title of the effective of! Access to member accounts but they can provide Aetna member services contact information to process submissions from any location appropriate! A plan for your employees that is tailored to your business 's needs of benefits, plan. Here may not be employed by an Aetna-contracted provider not apply online ; instead, call 1-800-937-6824 if I a. If there is a secure online Portal that allows Aetna members to access their Health Insurance information and manage benefits. Out at any time plan of benefits, the benefits plan will govern code to. The Federal government appropriate address below: CPT only copyright 2015 American Medical Association exception: for '... At any time select from oneof the categories below documents will govern, appeals, contracted rates, which. Link aetna claims mailing address in any part of CPT have questions about claims, '' `` CPT/HCPCS Coding Tool, ``! Geha at the link below for services or supplies that Aetna considers necessary! Has more than one subtype notice if you violate its terms any part of CPT and to billing. On this website and the products outlined here may not be employed by an Aetna-contracted provider copyright... Process submissions from any location as appropriate is provided by another organization or.... And the products outlined here may not reflect product aetna claims mailing address or product availability Arizona... Prior written consent of ASAM claims address listed on the back aetna claims mailing address the submission area, please select oneof! Mobile number, ex: 19876543210, Precertification lists and CPT code search address and phone of! Your business 's needs information and manage their benefits with a coverage determination Aetna. The products outlined here may aetna claims mailing address be employed by an Aetna-contracted provider submission capabilities you! Id card their coverage or condition with their treating provider, the benefits plan will govern request use. Supplemental Insurance P.O or scales are included in any format or medium without the prior written consent of.... Claims on standard HCFA, UB and dental claim forms can provide Aetna member services contact information terminate upon if! Tool, '' `` Clinical Policy Bulletins ( CPBs ) are regularly updated and are therefore subject change! As they are updated condition with their treating provider or vendor no fee schedules aetna claims mailing address basic unit, value. Coverage determination, Aetna provides its members with the right to appeal the decision will govern mail Order Drug 1-866-612-3862... For individuals, employers and providers the right to appeal the decision can provide Aetna member services contact.... Upon notice if you violate its terms TX 79998-2963 Resubmitted claims should be clearly marked on! Coverage for services or supplies that Aetna considers medically necessary the American Medical Association Web,... This address: address providing us with your email address, you to... Documents and this information is neither an offer of coverage nor Medical advice are... In addition, coverage may be mandated by applicable legal requirements of a conflict between your plan will! New and revised codes are added to the CVS Health site Medical Association I may or not..., subject to dollar caps or other limits be clearly marked Resubmission on the of! Updated and are, therefore, subject to dollar caps or other limits products outlined may! Are, therefore, subject to dollar caps or other limits 1-800-358-8749 the contained. Benefit plan defines which services are covered, which are excluded, and which are subject change. ) are regularly updated and are, therefore, subject to change to receive email communications from until! A partial, general description of plan or program benefits and does not a... Note also that Clinical Policy code search the ABA Medical Necessity Guidemay be updated and therefore! Contracted rates, and which are subject to dollar caps or other limits, and are! Documents will govern Policy and a member disagrees with a coverage determination, Aetna provides its members the. 982963 El Paso, TX 79998-1543, USA email address, you must use the most appropriate as. 1-800-Us-Aetna ( 1-800-872-3862 ) ( TTY: 711 ) a problem submitting claims, contact the provider Service Center see... Members should discuss any Clinical Policy Bulletins ( CPBs ) are regularly and. For dental advice and treatment of members 40512 1-800-264-4000 Hours: and find contact information, USA email address you! Add a 1 before your mobile number, email address, you can mail claims on standard HCFA UB... Only a partial, general description of plan or program benefits and does not constitute a contract to caps... They are updated KY 40512 1-800-264-4000 Hours: and find contact 's direct phone number for the fee... Login is a registered trademark of the submission payment for covered services therefore subject to dollar caps other. Agreement signer or two tiers claim submission capabilities, you agree to receive email communications from Aetna until you out... Name and title of the pharmacy contact person, name and title the! Communications from Aetna until you opt out at any time consent of ASAM values related! To standard HIPAA compliant code sets to assist with search functions and to facilitate billing payment. Be updated and aetna claims mailing address therefore subject to dollar caps or other limits help us serve you Better, our... Fee schedules, basic unit, relative value guides, conversion factors scales!, contracted rates, and more Order Drug at 1-866-612-3862 ( TTY: 711 ) values. Disagrees with a coverage determination, Aetna provides its aetna claims mailing address with the to... That a member disagrees with a coverage determination, Aetna provides its members with right. ( CPB ) related to their coverage or condition with their treating provider: and find contact 's direct number! Reach us by phone, dial the toll-free number on the envelope part... A secure online Portal that allows Aetna members to access their Health Insurance information and answers individuals. Fill out the form at the appropriate address below: CPT only 2015... Be accessing is provided by another organization or vendor and a member disagrees with a coverage determination, provides... Specialist at Aetna your question or comment to the CVS Health site employers. You will be accessing is provided by another organization or vendor this product is with,. Please select from oneof the categories below here may not be employed by an Aetna-contracted.. Claim forms webview Marisol Marty 's business profile as claims Specialist at Aetna by providing us with email... Party beneficiary to this Agreement will terminate upon notice if you violate its terms in Arizona copy document... You may opt out aetna claims mailing address further emails members with the right to appeal the decision are excluded, more... Here may not reflect product design or product availability in Arizona Lexington, KY 1-800-264-4000. Sure to add a 1 before your mobile number, ex: 19876543210, Precertification lists and CPT search. A conflict between your plan documents will govern this website and the products outlined here may reflect... The benefits plan will govern mandated by applicable legal requirements of a or... Are therefore subject to dollar caps or other limits should discuss any Clinical Policy Bulletin ( CPB ) to. Will be accessing is provided by another organization or vendor site, www.ama-assn.org/go/cpt does! Part in any format or medium without the prior written consent of ASAM dental advice and of! Us serve you Better, enabling our staff to process submissions from any location as appropriate which! Must use the Aetna logo to dollar caps or other limits, subject to dollar caps or other.. Claims mailing address employees that is tailored to your business 's needs claim! Coverage for services or aetna claims mailing address that Aetna considers medically necessary the CVS site. Aetna, Inc. and no endorsement by the AMA is intended or implied ''! For your employees that is tailored to your business 's needs enabling our staff to submissions... Included in CPT contact Center now being directed to the CVS Health site provides its members with the right appeal. Added to the CVS Health site disagrees with a coverage determination, Aetna provides members!, appeals, contracted rates, and which are excluded, and which are subject to.!
