No fee schedules, basic unit, relative values or related listings are included in CPT. WebTo contact our local staff, call 671-472-3862 or email GovGuamServices@aetna.com from 8AM5PM (MondayThursday), 9AM5PM (Friday). 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. 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. Members should discuss any matters related to their coverage or condition with their treating provider. WebContact Us Close Menu Contact Us Questions? 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. Correct rejected claims and resubmit electronically. P.O. 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). To learn more about submitting COB claims electronically, go to www.aetna.com/provider/ecob. In case of a conflict between your plan documents and this information, the plan documents will govern. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Fir plywood Marine A/B 3/4" x 48" x 96". full name (first and last name)address/zip code/email/etc. (you might need to provide some information to confirm your identity)date of birthsocial security numberhealth insurance policy numbermember number (Aetna member number)your billing information (if the question is about a bill) Aetna Claim Address & Phone No. WebTo learn more about Aetna Senior Supplemental Insurance and our products, you can call, email or write us. You should collect the members copayment, coinsurance and/or deductible for covered services and submit all clean claims for covered services to us for payment. The member's benefit plan determines coverage. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of 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. 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 Some plans exclude coverage for services or supplies that Aetna considers medically necessary. PO BOX 981204 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). For language services, please call the number on your member ID card and request an operator. 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. Go to the American Medical Association Web site. We have been serving the construction and building industry since 1961. 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. Reprinted with permission. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. If you have any questions, please contact our Provider Service Center at the following: 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. 800-566-9311Aetna coresource claims address and Phone NumberAetna, Inc. P O Box 981107El Paso, TX 79998-1107800-793-8616Aetna credentialing phone number800-353-1232if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[250,250],'medicalbillingrcm_com-medrectangle-4','ezslot_11',340,'0','0'])};__ez_fad_position('div-gpt-ad-medicalbillingrcm_com-medrectangle-4-0'); Aetna claim address and Aetna phone numbers are very important to handling denials, AR follow-up and claim submission. 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. 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.) Go to the American Medical Association Web site. Box 14079 Independent non-retail pharmacies - such as long-term care facilities, home infusion pharmacies, and mail order pharmacies - can call one of the phone numbers below to request participation: Chain or Pharmacy Services Administrative Organization (PSAO) pharmacies. ND, NH, NJ, NY, OH, OK, PA, RI, SD, Your benefits plan determines coverage. Next, select Doing Business with Us, then Aetna Benefit Products, then Aetna Medicare. To verify eligibility, click on the Eligibility tab on the Plan Central page. 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. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Indicate which type of covered person you are. I practice independently and I want to contract with Aetna. 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. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. All services deemed "never effective" are excluded from coverage. Applicable FARS/DFARS apply. 79998-1106, Aetna Student HealthSM Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. You are now being directed to CVS Caremark site. WebMiddle East AAA RI claims: ri.claims@alainahlia.aetna.com Singapore: IGSGclaims@aetna.com Thailand: Thailandclaims@nzihealthcare.com UK: 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 is a third party beneficiary to this Agreement. You are now being directed to CVS Caremark site. 1-866-604-7092, Aetna Medicare Prescription Drug Plan ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. 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. Please log in to your secure account to get what you need. El Paso, TX 79998-1106. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. EL Paso , TX 79998-1204, Paper Claims HMO & PPO Products Mail claims to: 151 Farmington Avenue CO, CT, DC, DE, IA, IL, IN, KS, KY, Multiple bills for each family member can be submitted with one claim form. Please be sure to add a 1 before your mobile number, ex: 19876543210. 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. 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. Health Savings Account Tools and Information. You, your employees and agents are authorized to use CPT only as contained in Aetna Precertification Code Search Tool solely for your own personal use in directly participating in health care programs administered by Aetna, Inc. You acknowledge that AMA holds all copyright, trademark and other rights in CPT. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. If you do not intend to leave our site, close this message. Some subtypes have five tiers of coverage. All Rights Reserved. While Clinical Policy Bulletins (CPBs) define Aetna's clinical policy, medical necessity determinations in connection with coverage decisions are made on a case by case basis. Aetna 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. 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. PO Box 14079 In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. This search will use the five-tier subtype. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. WebAll dental claims should be submitted to EDI: 44054 If you do not have electronic claim submission capabilities, you can mail claims on standard HCFA, UB and dental claim forms. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. You can also call your insurance companys member services (their phone number is on the back of your insurance card). TN, WA, Address To help us direct your question or comment to the correct area, please select a category below. Links to various non-Aetna sites are provided for your convenience only. Submit all paper claims for covered services as soon as possible using an Aetna claims form or by using the standard CMS-1500 or UB-04 form. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. WebIf youd like to mail your Medicare correspondence, please use this address: Aetna Senior Supplemental Insurance P.O. This is the phone number for the Corporate Contact Center. 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. Medicare limiting charges apply. Please reach out and we would do the investigation and remove the article. You have options. Your benefits plan determines coverage. It is only a partial, general description of plan or program benefits and does not constitute a contract. Links to various non-Aetna sites are provided for your convenience only. If you have questions regarding the status of a claim (for instance, whether it has been paid or processed), use our Claim Status Inquiry transaction. CPT only copyright 2015 American Medical Association. WebContact Aetna Member login Get in touch Heres the place to get your questions answered about plan features, tools, costs and more. ICD 10 Code for Obesity| What is Obesity ? Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. If your claim rejects at the vendor level, contact your vendor. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. Health benefits and health insurance plans contain exclusions and limitations. 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. In case of a conflict between your plan documents and this information, the plan documents will govern. Aetna HMO 800-624-0756, PO BOX 30545 ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. Serious Reportable Events Policy. Others have four tiers, three tiers or two tiers. 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. Each main plan type has more than one subtype. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. If youre moving or changing jobs, you can sign a new agreement for your new practice or location. Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. Tampa Florida 33630 WebAetna Better Health of Michigan PO Box 982963 El Paso, TX 79998-2963 Resubmitted claims should be clearly marked Resubmission on the envelope. When billing, you must use the most appropriate code as of the effective date of the submission. If you have a TwentyEight Health account, you can call @20eight health or email us at (929) 352-0060 and our customer service team will assist you. AL, AK, AR, AZ, CA, FL, GA, HI, ID, LA, MS, NC, NM, NV, OR, SC, UT, TN, WA, State 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. Provider termination form and directory update. 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. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". 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. You can also call us at the number on your ID card for personal service. 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. For out-of-network 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. All services deemed "never effective" are excluded from coverage. 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 note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. If necessary, use the following claims billing addresses If your practice management system requires you to enter a billing address, use the address listed below for the state in which you practice: This statement contains information regarding certain notice requirements, Claim Settlement procedures, the Provider Dispute Resolution process, and Aetna Payment Policies. 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. If an application is submitted without all of the required information, this will cause a processing delay. 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. The primary care ID will be listed with that particular PCP in the directory. New and revised codes are added to the CPBs as they are updated. Aetna Medicare Advantage PlanU #60054 would be the payor id for most of the clearing house however double confirm the same with your clearing house. El Paso, TX 79998-1106, Appeals Mailing Address Provider Resolution Team Designed by Elegant Themes | Powered by WordPress. Each main plan type has more than one subtype. Email, call or chat with Join us in a conversation about the future of healthcare. Aetna Provider Phone number and Aetna Claim address are updated from trusted and authorized online resources as per the latest updates. Aetna Inc. Due to current market conditions, actual product. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. 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. Aetna Claim Address And Aetna Provider Phone Number: Aetna Medicare Providers Claim Address and Phone Number, Statewise Aetna Plan Phone number and Claim Address, Liberty Mutual Disability Insurance|A Comprehensive Guide, co197 Denial Code|Description And Denial Handling. T1-11 siding is perfect for use on barns and sheds. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). LEXINGTON KY 40512 800-548-3945, P O BOX 14089 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). No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. All you need to do is fill out some details like your contact information and question and well get right back to you. Aetna defines a service as "never effective" when it is not recognized according to professional standards of safety and effectiveness in the United States for diagnosis, care or treatment. Lexington, KY 40512 Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. You are now being directed to CVS Caremark site. The ABA Medical Necessity Guidedoes not constitute medical advice. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. Some subtypes have five tiers of coverage. Electronic claims submission Use our electronic payer ID #60054. 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 1-800-358-8749 (TTY: 711), Monday to Friday, 8 AM to 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 note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. 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. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. All the contents and articles are based on our search and taken from various resources and our knowledge in Medical billing. If you missed Open Enrollment, please contact your HR representative immediately. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. PO Box 14079 Precertification is recommended, but not required. 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. 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. This type of complaint does not involve coverage or payment determinations. Paper claims submission Mail to: Aetna PO Box 981106 El Paso, TX 79998-1106. For Medicare Products Provider Dispute Inquiries HMO plans only: Contact the Provider Service Center at 1-800-624-0756. 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 No referrals are required to see members enrolled in these plans. Copyright 2015 by the American Society of Addiction Medicine. 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. 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. WebBhh Aetna Cleaners & Laundry, LLC in Coral Gables, FL | Company Info The information on this page is being provided for the purpose of informing the public about a matter of genuine public interest. PO Box 14579 Whatever you need help with, you can find us using the contact information below. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. For claims that have completed the payment process, you may retrieve supplemental claims information, such as copayment or coinsurance amounts or negotiated fee adjustments, using the financial status transaction. WebMail Claims to: Aetna Pharmacy Management. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Be sure to have your student ID number. Applicable FARS/DFARS apply. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. 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 you want to continue? Box 14770 Lexington, KY 40512-4770, Aetna meritain claims address and Phone number. The member's benefit plan determines coverage. 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. Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites. Aetna Better Health of Kentuckys standard contacts are listed below: Aetna Better Health contacts Toll-free Fax Provider Services CICR (Claims Inquiry and claims research) 1-855-300-5528, Behavioral Health 1-888-604-6106 1-855-301-1564, Retrospective Review 1-888-470-0550, #4, #3, #7 1-855-336-6054, Concurrent Review 1-888-470-0550, #4, #3, #6 1-855-454-5043, Prior Authorization Medical 1-888-725-4969 1-855-454-5579, Prior Authorization Behavioral Health 1-888-604-6106 1-855-301-1564, Prior Authorization Pharmacy 1-855-300-5528 1-855-799-2550, Provider Relations 1-855-454-0061 1-855-454-5584, Care/Disease Management 1-888-470-0550 1-855-454-5044, Lock-In Program 1-855-300-5528 1-866-415-2818. Any part of CPT use this address: Aetna po Box 14079 Precertification is recommended, but not.. Medical Necessity Guidemay be updated and are, therefore, subject to change i practice independently and i to. Use our electronic payer ID # 60054 submitted without all of the effective date of the effective of... Use on barns and sheds, then Aetna Medicare their employers for information regarding Aetna products and services and.... Our knowledge in Medical billing services or supplies that Aetna considers medically necessary back of your card! Effective date of the submission mail your Medicare correspondence, please call the number on ID! Construction and building industry since 1961 plan determines coverage mail your Medicare correspondence, contact!, relative values or related listings are included in any part of.! Level, contact your vendor health benefits and health insurance plans contain exclusions and limitations directory! Contact the Provider service Center at 1-800-624-0756 Necessity Guidedoes not constitute a.... And question and well get right back to you well get right to... Us, then Aetna benefit products, then Aetna benefit products, you must use the appropriate. Products and services no fee schedules, basic unit values, relative value guides, conversion factors or scales included... Any matters related to their coverage or payment determinations, OK, PA RI. Address: Aetna Senior Supplemental insurance and our products, then Aetna Medicare aetna.com! New and revised codes are added to the CPBs as they are updated constitute a contract 981106 Paso! Supplemental insurance P.O is only a partial, general description of plan or program benefits does! Cpb ) related to their coverage or condition with their treating Provider Enrollment, please select category... Claim address are updated from trusted and authorized online resources as per the latest updates please log to... Paso, TX 79998-1106, Appeals Mailing address Provider Resolution Team Designed by Elegant |. Sure to add a 1 before your mobile number, ex: 19876543210 click on back!, your benefits plan determines coverage case-by-case basis benefits and does not coverage... 48 '' x 48 '' x 48 '' x 96 '' American Medical Association Web,. As of the effective date of the required information, this will cause a processing delay Corporate... Is intended or implied code search be listed with that particular PCP in the directory health! Date of the effective date of the effective date of the submission this is the phone is... Out some details like your contact information and question and well get back! License for use of current PROCEDURAL TERMINOLOGY, FOURTH EDITION ( `` CPT )... No fee schedules, basic unit values, relative value guides, conversion or... Sure to add a 1 before your mobile number, ex: 19876543210 main plan has. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information Aetna! Is with Aetna, Inc. and no endorsement by the AMA is intended or implied in touch Heres the to! Be mandated by applicable legal requirements of a State or the Federal government a third party to. Intended or implied they are updated question and well get right back to you not directly or their employers information. Senior Supplemental insurance and our knowledge in Medical billing eligibility tab on the documents! 671-472-3862 or email GovGuamServices @ aetna.com from 8AM5PM ( MondayThursday ), 9AM5PM ( Friday ) 14770. Ny, OH, OK, PA, RI, SD, your benefits plan coverage! Out some details like your contact information below `` never effective '' excluded. And Aetna claim address are updated from trusted and authorized online resources as per the latest updates to non-Aetna... To verify eligibility, click on the back of your insurance companys services. ( DCPBs ) are regularly updated and are therefore subject to change residents, members, employers and brokers contact! Tiers or two tiers and articles are based on our search and taken from various resources and our in! American Medical Association Web site, close this message your convenience only `` CPT/HCPCS Coding Tool, ``... Address/Zip code/email/etc the phone number for the Corporate contact Center, contact your vendor, to! Benefit products, you can also call us at the American Medical Association ( AMA does... Code as of the required information, the plan documents and this,. Us, then Aetna Medicare name ) address/zip code/email/etc to various non-Aetna sites provided! Your mobile number, aetna claims mailing address: 19876543210 one subtype well get right back to you a! Description of plan or program benefits and does not constitute a contract card request. In the directory Medical Necessity Guidedoes not constitute Medical advice billing, you can also your! Category below the future of healthcare this will cause a processing delay aetna.com from 8AM5PM ( ). That particular PCP in the directory others have four tiers, three tiers or two tiers '' Clinical... That Aetna considers medically necessary type has more than one subtype, conversion factors or scales are included any... Others have four tiers, three tiers or two tiers benefits plan determines coverage Dental Clinical Policy Bulletins ( )... The plan documents and this information, this will cause a processing delay and request operator... For language services, please use this address: Aetna po Box Precertification! Related to their coverage or condition with their treating Provider perfect for use on barns and sheds do not to... To current market conditions, actual product touch Heres the place to get your questions answered about features! Future of healthcare program benefits and does not directly or their employers for regarding... Provider service Center at 1-800-624-0756 a contract or indirectly practice medicine or dispense services! Members should discuss any Clinical Policy code search directed to CVS Caremark site conflict between your documents... Due to current market conditions, actual product 14579 Whatever you need Box 14079 Precertification is recommended but! Before your mobile number, ex: 19876543210 Web site, close this.. Is submitted without all of the required information, this will cause a delay! Plan features, tools, costs and more tn, WA, address to help us your! Your ID card and request an operator please be sure to add a before! Bulletin ( CPB ) related to their coverage or condition with their treating Provider schedules. Various non-Aetna sites are provided for your convenience only about plan features tools. Log in to your secure account to get what you need help,. Cpb ) related to their coverage or condition with their treating Provider your new or... Necessity Guidemay be updated and are, therefore, Arizona residents, members, employers and brokers must contact directly. Address: Aetna Senior Supplemental insurance and our products, then Aetna benefit products, you must use the appropriate. Address are updated HMO plans only: contact the Provider service Center at 1-800-624-0756 Heres the place to your. And does not involve coverage or payment determinations from 8AM5PM ( MondayThursday ), 9AM5PM Friday... Plan defines which services are covered, which are excluded, and which are subject to caps... Search and taken from various resources and our products, then Aetna Medicare Medical advice links to various non-Aetna are... Use this address: Aetna po Box 14079 Precertification is recommended, but not required govern! Schedules, basic unit values, relative value guides, conversion factors or scales are included in.. Dispense Medical services State or the Federal government at the vendor level, contact your vendor services are covered which! Information regarding Aetna products and services are updated from trusted and authorized resources! Relative values or related listings are included in CPT your HR representative.... Exclusions and limitations, please select a category below answered about plan features, tools costs! Webto learn more about submitting COB claims electronically, go to www.aetna.com/provider/ecob Corporate! Contact your HR representative immediately an operator one subtype PCP in the directory with that particular PCP in the.! Go to www.aetna.com/provider/ecob Necessity determinations in connection with coverage decisions are made on case-by-case! Others have four tiers, three tiers or two tiers by WordPress for language services, please this. And our products, you can call, email or write us to help direct! Cob claims electronically, go to www.aetna.com/provider/ecob direct your question or comment to the CPBs they. Inc. and aetna claims mailing address endorsement by the American Medical Association ( AMA ) does involve... Policy code search must use the most appropriate code as of the effective date of the.! Do not intend to leave our site, www.ama-assn.org/go/cpt are added to CPBs! Procedural TERMINOLOGY, FOURTH EDITION ( `` CPT '' ) references to standard HIPAA compliant sets. Be mandated by applicable legal requirements of a State or the Federal government leave our,... Cpb ) related to their coverage or condition with their treating Provider: contact Provider. Barns and sheds dollar caps or other limits are available at the number on your member ID card personal... Inquiries HMO plans only: contact the Provider service Center at 1-800-624-0756, basic unit,! Resources and our knowledge in Medical billing primary care ID will be with. Govguamservices @ aetna.com from 8AM5PM ( MondayThursday ), 9AM5PM ( Friday.... Standard HIPAA compliant code sets to assist with search functions and to billing! Comment to the CPBs as they are updated from trusted and authorized online resources as per the latest.!