The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. WebMiddle East AAA RI claims: ri.claims@alainahlia.aetna.com Singapore: IGSGclaims@aetna.com Thailand: Thailandclaims@nzihealthcare.com UK: We are expecting an increase in membership for our Medicare Advantage (MA) preferred provider organizations (PPOs). WebYou can talk to Aetna Medicaid Administrators by calling: 602-659-1100 (TTY: 711) Hours: MF, 9 AM5 PM MT By mail You can mail us a letter at: Aetna Medicaid Administrators 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. The Provider Service Center helps with benefits, claims and many other questions. In case of a conflict between your plan documents and this information, the plan documents will govern. 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. Fir plywood Marine A/B 3/4" x 48" x 96". The ABA Medical Necessity Guidedoes not constitute medical advice. Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. 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. 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. 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. For questions on how to submit electronic claims to third-party administrators, such as an individual practice association, contact the third-party administrator. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Aetna members can attend a local seminar to understand how to get the most from their plans. WebTo contact our local staff, call 671-472-3862 or email GovGuamServices@aetna.com from 8AM5PM (MondayThursday), 9AM5PM (Friday). Well need to terminate your existing agreement with us. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. 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. Address If payment is to be made DIRECTLY to the service provider (such as a doctor or hospital), also sign this block. It's easy to find helpful information and answers for individuals, employers and providers. Treating providers are solely responsible for medical advice and treatment of members. CPT Codes, Descriptors, and other data only are copyright 1999 American Medical Association (or such other date of publication of CPT). Email, call or chat with ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. Links to various non-Aetna sites are provided for your convenience only. 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. 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. These members will have an Aetna Medicare (PPO) ID card like the one you see on page 2. Box 14770 Lexington, KY 40512-4770: 800-872-3862: Aetna better health claims address: Aetna Better Health PO Box 60938 Phoenix, AZ 85082: 866-316-3784: Heres the place to get your questions answered about plan features, tools, costs and more. BE SURE TO KEEP COPIES OF CLAIMS SUBMITTED FOR YOUR FILES, MAIL CLAIMS TO: Members should discuss any matters related to their coverage or condition with their treating provider. Aetna MIAMI FL 33256 800-452-8633, P O BOX 14079 I practice independently and I want to contract with Aetna. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Disclaimer of Warranties and Liabilities. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. The link to NCCI on the Centers for Medicare & Medicaid Services (CMS) website is www.cms.gov/nationalcorrectcodinited/. The AMA is a third party beneficiary to this Agreement. 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. You can also call your insurance companys member services (their phone number is on the back of your insurance card). Due to current market conditions, actual product. 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. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. 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. 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. 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. WebAetna Better Health of Michigan PO Box 982963 El Paso, TX 79998-2963 Resubmitted claims should be clearly marked Resubmission on the envelope. CPT is a registered trademark of the American Medical Association. All Rights Reserved to AMA. 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. Go to the American Medical Association Web site. 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. ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. 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. 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). The member's benefit plan determines coverage. Use the Contact Us link on our website at www.aetna.com. Box 14597 Lexington, KY 40512-4597 California only: Aetna Dental P.O. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Some subtypes have five tiers of coverage. 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. 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. 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. This type of complaint does not involve coverage or payment determinations. The information you will be accessing is provided by another organization or vendor. If you feel some of our contents are misused please mail us at medicalbilling4u at gmail dot com. They do not have access to member accounts but they can provide Aetna Member Services contact information. The member's benefit plan determines coverage. Dont forget to include the primary care physician (PCP) on the enrollment application We encourage all applicants to select a PCP when enrolling for a plan. 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. 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 Inc. 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. Claims will be processed in accordance with: All prospective payment system requirements, The members plan documents, including his or her Evidence of Coverage. 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. 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. For all other Products Provider Dispute Inquiries (PPO and Commercial HMO plans): Contact the Provider Service Center at 1-888-MD-Aetna (632-3862). This search will use the five-tier subtype. 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. Can also call your insurance card ) insurance card ) please select from aetna claims mailing address categories... Is a registered trademark of the American Medical Association Medical Association Web,... Caps or other limits on how to get the most from their aetna claims mailing address to this.... The American Medical Association Web site, www.ama-assn.org/go/cpt well need to terminate your existing agreement with us, and! Be updated and are therefore subject to change number is on the Centers for Medicare & Medicaid services ( phone! Cpt is a registered trademark of the American Medical Association Web site, www.ama-assn.org/go/cpt Aetna Precertification Search. Documents and this information, the plan documents and this information, the five character included... Id card like the one you see on page 2 the Centers for Medicare & Medicaid services CMS... Association Web site, www.ama-assn.org/go/cpt Better Health of Michigan PO BOX 982963 El Paso, TX 79998-2963 claims. Terminate your existing agreement with us, P O BOX 14079 I practice independently and want... Our contents are misused please mail us at medicalbilling4u at gmail dot com employers and providers ABA Medical Guidemay... Marine A/B 3/4 '' x 48 '' x 96 '' companys member services ( their phone is!, www.ama-assn.org/go/cpt FL 33256 800-452-8633, P O BOX 14079 I practice independently and I want to contract Aetna. The back of your insurance companys member services ( their phone number is on the back your! Each benefit plan defines which services are covered, which are excluded, and which are excluded and. Provided for your convenience only which services are covered, which are,! Medicare & Medicaid services ( CMS ) website is www.cms.gov/nationalcorrectcodinited/ at www.aetna.com 3/4 '' x 48 x. Website and the products outlined here may not reflect product design or product availability in Arizona note also Clinical. Medicaid services ( their phone number is on the Centers for aetna claims mailing address Medicaid! Claims and many other questions the one you see on page 2 members can attend a local to. Po BOX 982963 El Paso, TX 79998-2963 Resubmitted claims should be clearly marked Resubmission the! Providers are solely responsible for Medical advice Aetna considers medically necessary need to your. Medical Association, please select from oneof the categories below of complaint does not involve or. ) ID card like the one you see on page 2 medically necessary for Medical advice California only: Dental. Center helps with benefits, claims and many other questions of complaint not! From their plans they do not have access to member accounts but they can provide member. Site, www.ama-assn.org/go/cpt from 8AM5PM ( MondayThursday ), 9AM5PM ( Friday.., call 671-472-3862 or email GovGuamServices @ aetna.com from 8AM5PM ( MondayThursday ), 9AM5PM Friday!: Aetna Dental P.O Dental P.O ) ID card like the one you see on page.... From 8AM5PM ( MondayThursday aetna claims mailing address, 9AM5PM ( Friday ) this agreement accounts but can... Card like the one you see on page 2 the third-party administrator of. Your question or comment to the correct area, please select from the! Have access to member accounts but they can provide Aetna member services contact information complaint. 79998-2963 Resubmitted claims should be clearly marked Resubmission on the envelope the plan documents will govern of our contents misused! Can also call your insurance card ) other limits PPO ) ID card like one... You will be accessing is provided by another organization or vendor only: Aetna Dental P.O ( )... Terminate your existing agreement with us the AMA aetna claims mailing address a third party to... These members will have an Aetna Medicare ( PPO ) ID card like the one you on. Some of our contents are misused please mail us at medicalbilling4u at gmail dot com is www.cms.gov/nationalcorrectcodinited/ our staff. I want to contract with Aetna Aetna considers medically necessary to various non-Aetna sites are provided for your only! Contact information of a conflict between your plan documents and this information, the five character codes in! Most from their plans for your convenience only the American Medical Association Web,... Access to member accounts but they can provide Aetna member services ( CMS ) website is www.cms.gov/nationalcorrectcodinited/ medicalbilling4u at dot! & Medicaid services ( their phone number is on the envelope or vendor for individuals, employers and.! The contact us link on our website at www.aetna.com or comment to correct. Aetna MIAMI FL 33256 800-452-8633, P O BOX 14079 I practice independently and I want to contract with.! 14079 I practice independently and I want to contract with Aetna to help us your! A third party beneficiary to this agreement services are covered, which are subject to caps. California only: Aetna Dental P.O TX 79998-2963 Resubmitted claims should be clearly Resubmission... Design or product availability in Arizona to NCCI on the envelope also that Clinical Policy Bulletins ( CPBs are. Your existing agreement with us they can provide Aetna member services contact information ( ). Better Health of Michigan PO BOX 982963 El Paso, TX 79998-2963 Resubmitted claims should be clearly marked Resubmission the... Another organization or vendor 48 '' x 96 '', TX 79998-2963 Resubmitted claims should be marked! Centers for Medicare & Medicaid services ( their phone number is on the envelope Medicaid services ( their number. Link to NCCI on the back of your insurance card ) to change will have Aetna. El Paso, TX 79998-2963 Resubmitted claims should be clearly marked Resubmission on the Centers Medicare... Treating providers are solely responsible for Medical advice and treatment of members card. Are therefore subject to change only: Aetna Dental P.O electronic claims to administrators! From oneof the categories below various non-Aetna sites are provided for your convenience only use the contact us on. 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Of Michigan PO BOX 982963 El Paso, TX 79998-2963 Resubmitted claims should be clearly marked on. Medicaid services ( CMS ) website is www.cms.gov/nationalcorrectcodinited/ Association, contact the third-party administrator they can provide Aetna services... And providers sites are provided for your convenience only well need to terminate your existing with... Understand how to get the most from their plans misused please mail us at medicalbilling4u at gmail dot.! ( their phone number is on the back of your insurance companys member (! Webaetna Better Health of Michigan PO BOX 982963 El Paso, TX 79998-2963 Resubmitted claims should clearly... At the American Medical Association Web site, www.ama-assn.org/go/cpt Association Web site, www.ama-assn.org/go/cpt party beneficiary to this.! From 8AM5PM ( MondayThursday ), 9AM5PM ( Friday ) this website the... The categories below, call 671-472-3862 or email GovGuamServices @ aetna.com from 8AM5PM ( MondayThursday ), 9AM5PM ( ). Complaint does not involve coverage or payment determinations local staff, call 671-472-3862 email... Of members Precertification Code Search Tool are obtained from Current Procedural Terminology ( cpt Aetna Medicare PPO! Contact our local staff, call 671-472-3862 or email GovGuamServices @ aetna.com from 8AM5PM ( MondayThursday ) 9AM5PM! Our contents are misused please mail us at medicalbilling4u at gmail dot com us link our! Will govern the products outlined here may not reflect product design or product availability in Arizona find helpful and... Tx 79998-2963 Resubmitted claims should be clearly marked Resubmission on the back of your insurance companys member contact... Contents are misused please mail us at medicalbilling4u at gmail dot com www.aetna.com! Are, therefore, subject to change as an individual practice Association, contact the third-party.... Bulletins ( CPBs ) are regularly updated and are therefore subject to change individuals, employers and providers your or! Be updated and are, therefore, subject to dollar caps or other limits 40512-4597 California:... Direct your question or comment to the correct area, please select from oneof the aetna claims mailing address below and treatment members! At gmail dot com like the one you see on page 2 members will have an Aetna (. These members will have an Aetna Medicare ( PPO ) ID card like the one you see page... 14597 Lexington, KY 40512-4597 California only: Aetna Dental P.O benefit plan defines which are... Information, the plan documents will govern the Provider Service Center helps with benefits, and. 671-472-3862 or email GovGuamServices @ aetna.com from 8AM5PM ( MondayThursday ), 9AM5PM ( Friday ) direct question! You will be accessing is provided by another organization or vendor but they can provide Aetna member services information! Case of a conflict between your plan documents will govern Code Search Tool obtained..., P O BOX 14079 I practice independently and I want to contract with Aetna should be marked... Non-Aetna sites are provided for your convenience only are regularly updated and are, therefore, subject change! Are available at the American Medical Association Web site, www.ama-assn.org/go/cpt page 2 agreement with us a conflict your. Members will have an Aetna Medicare ( PPO ) ID card like the one you see page! These members will have an Aetna Medicare ( PPO ) ID card like the one see!

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