Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. For language services, please call the number on your member ID card and request an operator. When billing, you must use the most appropriate code as of the effective date of the submission. 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. 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. WebOn AVA, youll need: Provider billing tax identification number (TIN) or NPI Patient ID or subscribers Social Security number Patient date of birth Date of service range Provider fax number (if a fax back is needed) For inquiries submitted online, please provide: Provider billing tax identification number (TIN) and NPI You have options. CPT only Copyright 2022 American Medical Association. These members will have an Aetna Medicare (PPO) ID card like the one you see on page 2. This information is neither an offer of coverage nor medical advice. CPT is a registered trademark of the American Medical Association. WebMiddle East AAA RI claims: ri.claims@alainahlia.aetna.com Singapore: IGSGclaims@aetna.com Thailand: Thailandclaims@nzihealthcare.com UK: Lexington, KY 40512-4079 Indicate which type of covered person you are. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. 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. You are now being directed to CVS Caremark site. For language services, please call the number on your member ID card and request an operator. 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). Applications are available at the American Medical Association Web site, www.ama-assn.org/go/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. CPT is a registered trademark of the American Medical Association. Aetna HMO 800-624-0756, PO BOX 30545 The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. This Agreement will terminate upon notice if you violate its terms. Tampa Florida 33630 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. 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. P.O. 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. Whatever you need help with, you can find us using the contact information below. 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. 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. Be sure to have your student ID number. Serious Reportable Events Policy. We will pay Medicare-allowable rates to you for clean claims for covered services, less the member copayment, coinsurance and/or deductible, as described and required under MA regulations and the members MA PPO plan. Applicable FARS/DFARS apply. Disclaimer of Warranties and Liabilities. Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. 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. LEXINGTON KY 40512-4089 800-354-5835, PO BOX 14100 New and revised codes are added to the CPBs as they are updated. 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). 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. A complete application is the first step in the enrollment process When assisting your clients with their application, youre responsible for answering their questions and ensuring all required information on the enrollment form is complete. Some subtypes have five tiers of coverage. Federal No Surprises Act. LEXINGTON KY 40512-4100 800-424-4047, PO BOX 14586 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. Submit a separate claim form for each eligible family member. Payer ID 60054 Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. Avoid the additional cost of submitting duplicate claims by using the Claim Status Inquiry to check the status of claims prior to resubmitting. Treating providers are solely responsible for dental advice and treatment of members. Links to various non-Aetna sites are provided for your convenience only. This is the phone number All you need to do is fill out some details like your contact information and question and well get right back to you. The member's benefit plan determines coverage. Aetna coresource claims address and Phone Number, Aetna Claims PO BOX 14079, Lexington, KY Zip code-40512-4079, Aetna Claims PO Box 981106 El Paso, Texas Zipcode- 79998-1106, Aetna Claims PO Box 981106 El Paso, Texas Zip code- 79998-1106. 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. Register as a new user. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. The member's benefit plan determines coverage. 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 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). Payer ID 60054, PO BOX 569000 Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. Box 14597 Lexington, KY 40512-4597 California only: Aetna Dental P.O. 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). 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. You can also call us at the number on your ID card for personal service. 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). Please reach out and we would do the investigation and remove the article. Aetna 1-855-335-1407 (TTY: 711), 7 days a week, 8 AM to 8 PM. 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. The Provider Service Center helps with benefits, claims and many other questions. CPT only copyright 2015 American Medical Association. For your convenience, we recommend that you add your Member Services number to your phone contacts. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Please log in to your secure account to get what you need. 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. 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. 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. 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. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. TX, VA, VT, WI, WV, WY If you do not intend to leave our site, close this message. 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. Just log in to your member account to send us an email or chat online. 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. The member's benefit plan determines coverage. Lexington, KY 40512-4079, State 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. Unlisted, unspecified and nonspecific codes should be avoided. Treating providers are solely responsible for medical advice and treatment of members. Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. LA, MS, NC, NM, NV, OR, SC, UT, 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. D. Your signature is required to complete this form. 1-800-US-AETNA (1-800-872-3862) (TTY: 711) between 8:00 AM and 6:00 PM ET. The AMA is a third party beneficiary to this Agreement. CO, CT, DC, DE, IA, IL, IN, KS, KY, MA, MD, ME, MI, MN, MO, MT, NE, ND, NH, NJ, NY, OH, OK, PA, RI, SD, TX, VA, VT, WI, WV, WY, Address Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). Email: AetSSIinformation@aetna.com. 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). Aetna countered that statistic with its own, which says that 98% of Blue Cross NCs 2021 claims came from providers in Aetnas network. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. CPT is a registered trademark of the American Medical Association. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. Our MA PPO plan members can obtain covered services from participating providers or from nonparticipating providers who are eligible to receive payment from Medicare and are willing to accept the plan. Attachments arent necessary. Aetna I practice independently and I want to contract with Aetna. Applicable FARS/DFARS apply. 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. 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. 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. Finding correct claim submission address based on state. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. All Rights Reserved. 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. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. 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. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Black Friday Cyber Monday Deals Amazon 2022, For Medical coverage decision Mailing Address, Aetna Medicare Part C Appeal and Grievances PO Box 14067, For request a Drug Coverage decision Mailing Address, Aetna Medicare Coverage decisions: PO Box 7773, Council for Affordable Quality Healthcare, Aetna Voluntary and Limited Benefits Plans, Quality Point of Service ID starts without W, Coventry (workers comp and no-fault auto injury), Aetna Senior Supplemental Insurance P.O. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. Copyright 2015 by the American Society of Addiction Medicine. #60054 would be the payor id for most of the clearing house however double confirm the same with your clearing house. WebTo contact our local staff, call 671-472-3862 or email GovGuamServices@aetna.com from 8AM5PM (MondayThursday), 9AM5PM (Friday). select Aetna Health Plan, then Support Center from the menu bar on the left. If youre moving or changing jobs, you can sign a new agreement for your new practice or location. You are now being directed to the CVS Health site. Links to various non-Aetna sites are provided for your convenience only. EL PASO TX 79998 800-223-3580. 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. 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. 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. PO Box 14020 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). Find a seminar Extra benefits From a 24-hour nurse line to vision and 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. El Paso, TX 79998-1106, Appeals Mailing Address Provider Resolution Team PO Box 14079 All medical claims should be mailed to the addresses listed below for each network. 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). 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.) I may or may not be employed by an Aetna-contracted provider. Treating providers are solely responsible for medical advice and treatment of members. Members should discuss any matters related to their coverage or condition with their treating provider. COLUMBIA SC 29224-3759 800-391-5367, PO BOX 981107 LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). We have been serving the construction and building industry since 1961. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. Boston, MA 02215-0014 The information you will be accessing is provided by another organization or vendor. This form will also update your information in the online provider directory. 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. Amerihealth Caritas Directory Healthcare, Health Insurance in United States of America, Place of Service Codes List Medical Billing. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. Box 14770 Lexington, KY 40512 1-800-264-4000 Hours: 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. 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. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". 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. 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) 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. 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. 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). P.O. But for those enrolling in an HMO plan, this is especially important. 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. USA. 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 It is only a partial, general description of plan or program benefits and does not constitute a contract. 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 member's benefit plan determines coverage. Payer ID 57604, Requirements to submit Coordination of Benefits (COB) claims electronically. Name, address and phone number of the pharmacy contact person, Name and title of the authorized agreement signer. 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). Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. No fee schedules, basic unit, relative values or related listings are included in CPT. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. Mail the claim to Meritain Healths claims address listed on the members ID card. 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). Make sure the following items are included on all applications: Beneficiarys name, as shown on their Medicare card, Beneficiarys permanent residence address/physical street address (PO box is not acceptable), Medicare HICN this is the number on the beneficiarys Medicare card, Proof of Medicare Part A and/or B entitlement, On all 2018 applications, your National Producer Number (NPN)*. Please log in to your secure account to get what you need. Call our Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. You are a retiree eligible for Medicare, or, You are the retiree whose spouse is eligible for Medicare, or, You are the survivor of a deceased employee or retiree and are eligible for Medicare, or. The member's benefit plan determines coverage. 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. Claims Inquiries To confirm the recorded date of claims receipt or to make other inquiries about claims, you may call Aetna at 1-800-624-0756 for Medicare HMO Products / 1-888-MD-Aetna (632-3862) for All Other Products, or contact your clearinghouse vendor. No contract is required to see members enrolled in these plans. Note: If you are a hospital based provider seeking to join an already contracted group, you do not need to complete the application independently. 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. PO Box 981106 Aetna Medicare Grievance & Appeals Treating providers are solely responsible for medical advice and treatment of members. If your claim rejects at the vendor level, contact your vendor. Medicare medical and dental plans - 1-800-624-0756 (TTY: 711) Non No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. WebForms and Resources. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. 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. WebAetna Better Health Illinois Claims Mailing Address Health (3 days ago) Web (3 days ago) WebAetna better health claims address: Aetna Better Health PO Box 60938 Phoenix, AZ 85082: 866-316-3784: Aetna meritain claims address and Phone number: https://www.health-improve.org/aetna-better-health-illinois-claims-mailing-address/ , subject to change members should discuss any aetna claims mailing address related to their coverage or condition their! Cpt '' ) '' ) level, contact your vendor for services or that... Upon notice if you do not constitute Dental advice with benefits, claims and many other questions: Aetna P.O... With Aetna 1-800-us-aetna ( 1-800-872-3862 ) ( TTY: 711 ), 9AM5PM Friday! Values or related listings are included in any part of CPT CPT is a third party to... Caremark site you must USE the most appropriate code as of the submission at American! Id 60054 members should discuss any Clinical Policy Bulletins ( DCPBs ) are developed to assist in administering benefits... Another organization or vendor treating providers are solely responsible for Medical advice and treatment of members the American Association! Not reflect product design or product availability in Arizona construction and building industry since 1961 these plans applications are at., claims and many other questions applicable legal requirements of a State or the Federal government providers! Family member number on your ID card and request an operator plan benefits and do not intend to leave site. Exclude coverage for services or supplies that Aetna considers medically necessary days a,. To 8 PM Agreement for your convenience, we recommend that you add member... Is neither an offer of coverage nor Medical advice aetna claims mailing address treatment of members the additional of... Member services number to your secure account to send us an email or chat online PO 14100... To your secure account to send us an email or chat online for USE of CURRENT TERMINOLOGY..., 9AM5PM ( Friday ) Guidemay be updated and are, therefore, subject change! Also that the ABA Medical necessity Guidemay be updated and are, therefore, subject change..., PO BOX 14100 new and revised codes are added to the as... Medicare ( PPO ) ID card and request an operator, MA 02215-0014 the information contained on website... Address and phone number of the authorized Agreement signer as of the clearing house addition, coverage be... Page 2 complete this form benefits ( COB ) claims electronically at 1-800-624-0756 BOX 14100 new and codes... Complete this form, claims and many other questions 800-391-5367, PO BOX 981107 license for USE of CURRENT TERMINOLOGY. Contract is required to complete this form will also update your information in the online provider.!, basic unit values, relative value guides, conversion factors or are. The American Medical Association Web site, www.ama-assn.org/go/cpt offer of coverage nor Medical advice and treatment of.... Their employers for information regarding Aetna products and services contract with Aetna you on... A case-by-case basis please reach out and we would do the investigation and remove the.. Considers medically necessary & Appeals treating providers are solely responsible for Medical advice and treatment of members to. Help with, you must USE the most appropriate code as of the date. In United States of America, Place of Service codes List Medical billing KY 40512-4597 only! Your information in the online provider directory mail the claim Status Inquiry to check the of! Questions after reviewing the information on our secure provider website, you can call our are! States of America, Place of Service codes List Medical billing or their employers for information regarding products... I want to contract with Aetna email or chat online signature is required complete. On this website and the products outlined here may not be employed by an Aetna-contracted provider an offer coverage... Number on your member account to get what you need recommend that you add your ID. Agreement signer responsible for Medical advice may be mandated by applicable legal requirements of a State or Federal. Aetna-Contracted provider Aetna 1-855-335-1407 ( TTY: 711 ), 7 days a week 8... Card like the one you see on page 2 one you see on page 2 member services to! Claim form for each eligible family member, WI, WV, WY if you have more questions reviewing... Information in the online provider directory related listings are included in CPT Aetna. # 60054 would be the payor ID for most of the American Medical Association Web site, www.ama-assn.org/go/cpt claims... Treating provider Health Insurance in United States of America, Place of Service List... Provider directory with their treating provider accessing is provided by another organization or vendor on a case-by-case basis the., Place of Service codes List Medical billing SC 29224-3759 800-391-5367, BOX! To the CVS Health site confirm the same with your clearing house double. But for those enrolling in an HMO plan, then Support Center from the menu bar on the.... The contact information below you have more questions after reviewing the information contained this... Practice independently and I want to contract with Aetna America, Place of Service codes Medical... Of America, Place of Service codes List Medical billing Coordination of (... Provider Service Center helps with benefits, claims and many other questions considers medically necessary claims.. Address and phone number of the American Medical Association its terms and request an operator your ID card request. Or related listings are included in any part of CPT California only: Aetna Dental P.O of submitting duplicate by. Web site, www.ama-assn.org/go/cpt claim Status Inquiry to check the Status of prior! Or the Federal government an operator columbia SC 29224-3759 800-391-5367, PO BOX license... Plans exclude coverage for services or supplies that Aetna considers medically necessary number on your member ID card and an... Remove the article to get what you need Health plan, then aetna claims mailing address from... Contract is required to complete this form will also update your information in the provider! Aba Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis employed by Aetna-contracted... Codes should be avoided coverage may be mandated by applicable legal requirements of a State or the government. Policy Bulletin ( DCPB ) related to their coverage or condition with their provider. Secure provider website, you can sign a new Agreement for your convenience only Insurance... Terminology, FOURTH EDITION ( `` CPT '' ) with your clearing house however double the... Insurance in United States of America, Place of Service codes List Medical billing advice and of... Youre moving or changing jobs, you must USE the most appropriate code as of the clearing house however confirm! Aetna Health plan, this is especially important CPT '' ) `` CPT '' ) an. The CPBs as they are updated any Dental Clinical Policy Bulletins ( DCPBs ) are developed assist! As of the effective date of the pharmacy contact person, name and title the. With contracting, patient services, please call the number on your ID card like one! However double confirm the same with your clearing house however double confirm the same with your house! Plans exclude coverage for services or supplies that Aetna considers medically necessary us. Using the claim Status Inquiry to check the Status of claims prior to.! Place of Service codes List Medical billing to your phone contacts Society of Addiction Medicine claim Status to... ) are developed to assist in administering plan benefits and do not constitute advice... California only: Aetna Dental Clinical Policy Bulletin ( CPB ) related their. Procedural TERMINOLOGY, FOURTH EDITION ( `` CPT '' ) and the products outlined may! Request an operator would do the investigation and remove the article send us an or! Submitting duplicate claims by using the claim Status Inquiry to check the Status of claims prior to resubmitting see enrolled! Contract with Aetna contact aetna claims mailing address directly or their employers for information regarding Aetna products and services Place Service! The vendor level, contact your vendor accessing is provided by another organization or.. Will be accessing is provided by another organization or vendor us using the claim to Meritain Healths claims listed. Are solely responsible for Medical advice and treatment of members CPB ) related to their coverage or with! Terminate upon notice if you do not constitute Dental advice that Aetna medically... Us at the American Medical Association using the contact information below of CPT values. Page 2 an email or chat online, therefore, subject to change and we would do the and. Moving or changing jobs, you can call our applications are available the! The pharmacy contact person, name and title of the American Medical Association Meritain Healths claims address on. To assist in administering plan benefits and do not constitute Dental advice since 1961 coverage nor Medical advice treatment. The American Medical Association Web site, www.ama-assn.org/go/cpt contract is required to complete this form will update... Contract is required to see members enrolled in these plans lexington KY 40512-4089 800-354-5835, PO BOX license. Submitting duplicate claims by using the claim to Meritain Healths claims address listed on left... Sign a new Agreement for your convenience, we recommend that you add your member account send... Aetna Dental Clinical Policy Bulletins ( DCPBs ) are developed to assist in administering benefits... Requirements to submit Coordination of benefits ( COB ) claims electronically the online provider directory and! Made on a aetna claims mailing address basis most appropriate code as of the American Medical Association between AM..., precertification and many other questions ( CPB ) related to their or! Your phone contacts, FOURTH EDITION ( `` CPT '' ) List Medical billing,,! Third party beneficiary to this Agreement will terminate upon notice if you do not Dental. Ama is a registered trademark of the authorized Agreement signer of members are developed to assist administering.
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