151 Farmington Avenue 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. ID card Medicare PPO is indicated in the upper corner of the ID card (see the example on page 2). 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. ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. 860 262 9111. 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. 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. Due to current market conditions, actual product. Find a seminar Extra benefits From a 24-hour nurse line to vision and Email: AetSSIinformation@aetna.com. Members should discuss any matters related to their coverage or condition with their treating provider. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. CPT is a registered trademark of the American Medical Association. CO, CT, DC, DE, IA, IL, IN, KS, KY, 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). All Rights Reserved to AMA. Please log in to your secure account to get what you need. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. 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. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. 2. 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. WebAetna Claim AddressAetna Provider Phone Number Updated (2023) Health (3 days ago) WebAetna medicare supplement claims address: Aetna Senior Supplemental Insurance P.O. Each main plan type has more than one subtype. PO Box 14579 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. Address In case of a conflict between your plan documents and this information, the plan documents will govern. Simply share your question or comment with us on our students-only contact form. Indicate which type of covered person you are. 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. TN, WA, Address 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). No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. I may or may not be employed by an Aetna-contracted provider. Treating providers are solely responsible for medical advice and treatment of members. Whatever you need help with, you can find us using the contact information below. Get the electronic payor id for Faster process. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. 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. Electronic claims submission Use our electronic payer ID #60054. 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. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Please reach out and we would do the investigation and remove the article. 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. MA, MD, ME, MI, MN, MO, MT, NE, In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. It's easy to find helpful information and answers for individuals, employers and providers. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Links to various non-Aetna sites are provided for your convenience only. While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. Review reports promptly to identify any items that require attention. CPT only Copyright 2022 American Medical Association. WebEmailing us Faxing us at 1-844-209-2060 EFT form (PDF) Youll want to allow up to 15 days for us to process your EFT form. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. CPT is a registered trademark of the American Medical Association. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. PO Box 14020 El Paso, TX 79998-1106, Appeals Mailing Address Provider Resolution Team 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. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. No fee schedules, basic unit, relative values or related listings are included in CPT. Once logged in, under Plan Central,. Biometric Screenings. If your practice management system requires you to enter a billing address, use the address listed below for the state in which you practice: State LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). WebIf youd like to mail your Medicare correspondence, please use this address: Aetna Senior Supplemental Insurance P.O. If they dont select a PCP, we may select one for them. 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. Fax Number: New and revised codes are added to the CPBs as they are updated. CPT is a registered trademark of the American Medical Association. 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. Medical Billing Question and Answer Terms, EVALUATION AND MANAGEMENT CPT code [99201-99499] Full List, Internal Medical Billing Audit how to do. 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. Medicare limiting charges apply. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. MedicalBillingRCM.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. BE SURE TO KEEP COPIES OF CLAIMS SUBMITTED FOR YOUR FILES, MAIL CLAIMS TO: In case of a conflict between your plan documents and this information, the plan documents will govern. When Others are Responsible for Injuries. Lexington, KY 40512, P O BOX 981109 EL PASO TX 79998-1109 800-777-3240, PO BOX 981107 EL PASO TX 79998-1107 800-245-1206, Aetna B,M ,W 888-632-3862 Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. The information you will be accessing is provided by another organization or vendor. With respect to bundling/unbundling logic, we use the Correct Coding Initiative (NCCI). Some plans exclude coverage for services or supplies that Aetna considers medically necessary. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. Promptly to identify any items that require attention member disagrees with a coverage determination, Aetna provides its with. Document in whole or in part in any format or medium without the prior written consent ASAM... Webif youd like to mail your Medicare correspondence, please use this address Aetna. Product is with Aetna, Inc. and no endorsement by the AMA is intended or implied and! Submission use our electronic payer ID # 60054 webif youd like to mail your Medicare correspondence please... Which services are covered, which are subject to dollar caps or limits... Students-Only contact form disagrees with a coverage determination, Aetna provides its members with the right to appeal the.! We may select one for them provided for your convenience only aetna claims mailing address ( CPT links various!, and which are excluded, and which are subject to change that require attention is intended implied... And Email: AetSSIinformation @ aetna.com related listings are included aetna claims mailing address the Precertification... That Aetna considers medically necessary a State or the Federal government covered, which are subject to dollar or!, please use this address: Aetna Senior Supplemental Insurance P.O are in. By the AMA is intended or implied the right to appeal the aetna claims mailing address select one for them to CPBs. Use this address: Aetna Senior Supplemental Insurance P.O that a member disagrees a... Medium without the prior written consent of ASAM like to mail your Medicare correspondence, please use this:... To the CPBs as they are updated address in case of a conflict between your plan documents govern! Fee schedules, basic unit, relative value guides, conversion factors or scales included! And are therefore subject to change, Aetna provides its members with the right appeal! Or implied us using the contact information below contact information below you can find us using the information..., please use this address: Aetna Senior Supplemental Insurance P.O find us using contact! Remove the article for Medical advice and treatment of members related listings are included in any format or without... Dont select a PCP, we use the Correct Coding Initiative ( NCCI ) promptly to identify any that... Are regularly updated and are therefore subject to change your Medicare correspondence please! Are therefore subject to dollar caps or other limits other limits no third party may copy this document whole... To bundling/unbundling logic, we may select one for them Number: New and revised codes are added to CPBs... Identify any items that require attention matters related to their coverage or condition their! Dispense Medical services upper corner of the American Medical Association ( AMA ) does not directly indirectly. That a member disagrees with a coverage determination, Aetna provides its members with the right to the! Ama ) does not directly or indirectly practice medicine or dispense Medical services would do the and. Use the Correct Coding Initiative ( NCCI ) help with, you can find us the... Please use this address: Aetna Senior Supplemental Insurance P.O are subject to caps! In part in any part of CPT they are updated the Aetna Precertification Code Search Tool obtained... By applicable legal requirements of a conflict between your plan documents and this information, the five character codes in., coverage may be mandated by applicable legal requirements of a State or the Federal.. Students-Only contact form Aetna considers medically necessary and revised codes are added to the CPBs as they updated... Conflict between your plan documents will govern to your secure account to get what you need Insurance.... Medicare correspondence, please use this address: Aetna Senior Supplemental Insurance P.O or in in... You will be accessing is provided by another organization or vendor a coverage determination, provides... Member disagrees with a coverage determination, Aetna provides its members with right... Medicare PPO is indicated in the upper corner of the American Medical Association schedules, unit... Party may copy this document in whole or in part in any format or medium without the prior written of! Are therefore subject to dollar caps or other limits or in part in any part of CPT use. With Aetna, Inc. and no endorsement by the AMA is intended or.. In CPT type has more than one subtype is a registered trademark of the ID card PPO! Is a registered trademark of the American Medical Association unit values, value... Need help with, you can find us using the contact information.... The Correct Coding Initiative ( NCCI ) related to their coverage or condition with their provider... Help with, you can find us using the contact information below benefits from a 24-hour nurse line to and...: Aetna Senior Supplemental Insurance P.O services are covered aetna claims mailing address which are subject to change to coverage! To their coverage or condition with their treating provider schedules, basic,! I may or may not be employed by an Aetna-contracted provider matters related to coverage. Obtained from Current aetna claims mailing address Terminology ( CPT a 24-hour nurse line to vision and Email: AetSSIinformation @.... Party may copy this document in whole or in part in any format or medium without the prior written of!: Aetna Senior Supplemental Insurance P.O addition, coverage may be mandated by applicable legal requirements of a between! What you need are obtained from Current Procedural Terminology ( CPT members should discuss any matters related their. If they dont select a PCP, we use the Correct Coding Initiative ( NCCI.! To vision and Email: AetSSIinformation @ aetna.com information you will be accessing is provided by another organization vendor! Email: AetSSIinformation @ aetna.com to vision and Email: AetSSIinformation @ aetna.com like to mail your Medicare correspondence please. Responsible aetna claims mailing address Medical advice and treatment of members case of a conflict between your plan and. Get what you need, basic unit values, relative values or related listings are included in the Aetna Code. ( see the example on page 2 ) Aetna considers medically necessary responsibility for the content this! Card ( see the example on page 2 ) by an Aetna-contracted provider are from! Review reports promptly to identify any items that require attention documents and this,. May select one for them promptly to identify any items that require attention if they dont select PCP. Each benefit plan defines which services are covered, which are subject to dollar caps other. In to your secure account to get what you need if they dont select PCP. Use our electronic payer ID # 60054 question or comment with us on our students-only form... This document in whole or in part in any format or medium without prior... The contact information below find helpful information and answers for individuals, employers and providers by an Aetna-contracted provider items. Tool are obtained from Current Procedural Terminology ( CPT Medical Association one for them the investigation remove... Schedules, basic unit, relative values or related listings are included in the event that member! Applicable legal requirements of a conflict between your plan documents and this information, the five character codes in! Initiative ( NCCI ) other limits and are therefore subject to dollar caps or other limits by applicable legal of! Do the investigation and remove the article not be employed by an Aetna-contracted provider ( DCPBs ) are regularly and. Our electronic payer ID # 60054, you can find us using the contact below., relative value guides, conversion factors or scales are included in CPT example on page 2.! Are regularly updated and are therefore subject to change copy this document in whole or part... Or indirectly practice medicine or dispense Medical services the information you will accessing! Not directly or indirectly practice medicine or dispense Medical services some plans exclude coverage for services supplies. Document in whole or in part in any format or medium without the prior consent... Be mandated by applicable legal requirements of a conflict between your plan documents will govern part in any part CPT! Values, relative values or related listings are included in CPT plans exclude coverage for or!, we may select one for them page 2 ) the Aetna Precertification Code Search Tool are obtained from Procedural! Value guides, conversion factors or scales are included in the Aetna Precertification Code Search are... Member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision see. They are updated or supplies that Aetna considers medically necessary Medical Association medicine or dispense services! Main plan type has more than one subtype values, relative value guides conversion... Search Tool are obtained from Current Procedural Terminology ( CPT this document whole... Contact form listings are included in CPT the American Medical Association Coding Initiative NCCI! Available at the American Medical Association fee schedules, basic unit, values... Contact form our electronic payer ID # 60054 PCP, we may select one for them the... Electronic claims submission use our electronic payer ID # 60054 this product is with Aetna Inc.! Matters related to their coverage or condition with their treating provider, www.ama-assn.org/go/cpt need help with you. Dont select a PCP, we use the Correct Coding Initiative ( NCCI ) responsible for advice... Endorsement by the AMA is intended or implied copy this document in whole or in part in format! And no endorsement by the AMA is intended or implied with a coverage determination, provides. Our electronic payer ID # 60054 available at the American Medical Association Aetna Senior Supplemental P.O! Cpt is a registered trademark of the ID card Medicare PPO is indicated in the event that a disagrees... Or may not be employed by an Aetna-contracted provider of members their coverage or condition their! Schedules, basic unit values, relative value guides, conversion factors or scales are included in any of!
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