Box 10462 Van Nuys, CA 91410 Want to become a participating dentist? If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. Multiple bills for each family member can be submitted with one claim form. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. 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. 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. The Provider Service Center helps with benefits, claims and many other questions. CPT is a registered trademark of the American Medical Association. 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. 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 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). Provide the name, Member ID number or Social Security number, address and phone number of the covered person. Aetna If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. Box 21542, Eagan, MN 55121 Phone: (800) 821-6136 Treating providers are solely responsible for dental advice and treatment of members. The discussion, analysis, conclusions and positions reflected in the Clinical Policy Bulletins (CPBs), including any reference to a specific provider, product, process or service by name, trademark, manufacturer, constitute Aetna's opinion and are made without any intent to defame. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. 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. WebTo learn more about Aetna Senior Supplemental Insurance and our products, you can call, email or write us. PO Box 15708 The member's benefit plan determines coverage. Minneapolis, MN 55435-8106 Aetna Mail Order Drug. This is the phone number In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. 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: Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. 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. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. Applicable FARS/DFARS apply. 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. Aetna Medicare Grievance & Appeals In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. Health benefits and health insurance plans contain exclusions and limitations. 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. 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. 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. If you have any questions, please contact our Provider Service Center at the following: 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 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). We will response ASAP. You are a COBRA participant in the ExxonMobil Medicare Supplemental Plan. Disclaimer of Warranties and Liabilities. T1-11 siding is perfect for use on barns and sheds. 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. 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. Medicare limiting charges apply. We're here to help. Or, call your vendors customer service help line. All Rights Reserved to AMA. Biometric Screenings. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. 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. Box 14770 Lexington, KY 40512 1-800-264-4000 Hours: Aetna address and Aetna Provider Phone Number for Claims Complete list: Denials with solutions in Medical Billing, Denials Management Causes of denials and solution in medical billing, CO 4 Denial Code The procedure code is inconsistent with the modifier used or a required modifier is missing, CO 5 Denial Code The Procedure code/Bill Type is inconsistent with the Place of Service, CO 6 Denial Code The Procedure/revenue code is inconsistent with the patients age, CO 7 Denial Code The Procedure/revenue code is inconsistent with the patients gender, CO 15 Denial Code The authorization number is missing, invalid, or does not apply to the billed services or provider, CO 17 Denial Code Requested information was not provided or was insufficient/incomplete, CO 19 Denial Code This is a work-related injury/illness and thus the liability of the Workers Compensation Carrier, CO 23 Denial Code The impact of prior payer(s) adjudication including payments and/or adjustments, CO 31 Denial Code- Patient cannot be identified as our insured, CO 119 Denial Code Benefit maximum for this time period or occurrence has been reached or exhausted, Molina Healthcare Phone Number claims address of Medicare and Medicaid, Healthfirst Customer Service-Health First Provider Phone Number-Address and Timely Filing Limit, Kaiser Permanente Phone Number Claims address and Timely Filing Limit, Amerihealth Caritas Phone Number, Payer ID and Claim address, ICD 10 Code for Sepsis Severe Sepsis and Septic shock with examples, Anthem Blue Cross Blue Shield Timely filing limit BCBS TFL List, Workers Compensation Insurances List of United States, Workers Compensation time limit for filing Claim and reporting in United States. If payment is to be made DIRECTLY to the service provider (such as a doctor or hospital), also sign this block. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). Others have four tiers, three tiers or two tiers. Submit all paper claims for covered services as soon as possible using an Aetna Phone: 800 264.4000. 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. 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. Email, call or chat with You are now being directed to CVS Caremark site. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". 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. This Agreement will terminate upon notice if you violate its terms. Treating providers are solely responsible for dental advice and treatment of members. Remember to include the patient-paid amount on claims and encounters submitted to us. Review reports promptly to identify any items that require attention. Learn more about Ezoic here. Others have four tiers, three tiers or two tiers. Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. Box 14597 Lexington, KY 40512-4597 California only: Aetna Dental P.O. If you do not intend to leave our site, close this message. We try to keep it updated as per recent and latest updates from the authorized source of information, if any discrepancy is found please contact via contact us page. For all other Products Provider Dispute Inquiries (PPO and Commercial HMO plans): Contact the Provider Service Center at 1-888-MD-Aetna (632-3862). Call our Your benefits plan determines coverage. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". 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. 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. All the information are educational purpose only and we are not guarantee of accuracy of information. To help us direct your question or comment to the correct area, please select a category below. CPT is a registered trademark of the American Medical Association. PO Box 14079 event () async def on_message (message): if message. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. 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. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. Once logged in, under Plan Central,. This information is neither an offer of coverage nor medical advice. Treating providers are solely responsible for medical advice and treatment of members. Applicable FARS/DFARS apply. Aetna countered that statistic with its own, which says that 98% of Blue Cross NCs 2021 claims came from providers in Aetnas network. 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. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. 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. 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 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 Rights Reserved. Some subtypes have five tiers of coverage. 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. All services deemed "never effective" are excluded from coverage. Lexington, KY TN, WA, Address 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. 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. Some subtypes have five tiers of coverage. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. For language services, please call the number on your member ID card and request an operator. Finding correct claim submission address based on state. Aetna Claim Address & Phone No. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. I may or may not be employed by an Aetna-contracted provider. Treating providers are solely responsible for dental advice and treatment of members. 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. Treating providers are solely responsible for medical advice and treatment of members. 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)*. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. For current employers, health care professionals and producersget the Aetna logo. This is the phone number for the Corporate Contact Center. Links to various non-Aetna sites are provided for your convenience only. This section relates to information about the covered person. 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. Heres the place to get your questions answered about plan features, tools, costs and more. Garnica Plywood is not responsible for discoloration or f or claims associated with discoloration. If you missed Open Enrollment, ICD 10 Code for Obesity| What is Obesity ? PO Box 14079 Dont have an account? Once processing is complete, well send you a No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. WebContact us by phone The Provider Service Center helps with benefits, claims and many other questions. Copyright 2015 by the American Society of Addiction Medicine. 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. Already a member? Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. Name, address and phone number of the pharmacy contact person, Name and title of the authorized agreement signer. 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 PO Box 14020 If you do not intend to leave our site, close this message. 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. Amerihealth Caritas Directory Healthcare, Health Insurance in United States of America, Place of Service Codes List Medical Billing. Due to current market conditions, actual product. The revenue codes and UB-04 codes are the IP of the American Hospital Association. 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. 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. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Well need to terminate your existing agreement with us. Unlisted, unspecified and nonspecific codes should be avoided. Visit the secure website, available through www.aetna.com, for more information. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Tampa Florida 33630 The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). The information you will be accessing is provided by another organization or vendor. #60054 would be the payor id for most of the clearing house however double confirm the same with your clearing house. Disclaimer of Warranties and Liabilities. In case of a conflict between your plan documents and this information, the plan documents will govern. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. The ABA Medical Necessity Guidedoes not constitute medical advice. Address No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. When billing, you must use the most appropriate code as of the effective date of the submission. This information is neither an offer of coverage nor medical advice. Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. You, your employees and agents are authorized to use CPT only as contained in Aetna Clinical Policy Bulletins (CPBs) solely for your own personal use in directly participating in healthcare programs administered by Aetna, Inc. You acknowledge that AMA holds all copyright, trademark and other rights in CPT. Aetna We have been serving the construction and building industry since 1961. 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. All Rights Reserved. Request a Drug Coverage decision by Mail: Aetna Medicare Part D Appeals & Grievances, Refer to the back side of the member ID card, Coventry (Including workers compensation and auto injury), Quality Point of Service (Except the ID starts with W), Quality Point of Service (Member ID starts with W), Aetna Provider Phone Number for the following listed plans - 888-772-9682, Aetna Limited Benefits Insurance Plan (PPO), Aetna Voluntary Group Medical Plan (indemnity Plan), 888-702-3862 (Benefit Questions or Claim Inquiries), 888-802-3862 (Benefit Questions or Claim Inquiries), Aetna Vision Discount Programs (California), Aetna Better health Provider Phone Number. For others, request to use the Aetna logo. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. 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. 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. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. NAIC Coordination of Benefits Policy. 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. 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. What is Medical Billing and Medical Billing process steps in USA? Register as a new user. Please be sure to add a 1 before your mobile number, ex: 19876543210. But for those enrolling in an HMO plan, this is especially important. 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. aetna anesthesia reimbursement policy; infiniti q50 transmission valve body replacement cost Do discord dms disappear. 1-800-358-8749 (TTY: 711), Monday to Friday, 8 AM to 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. 2. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. CPT is a registered trademark of the American Medical Association. TX, VA, VT, WI, WV, WY Box 14079 For all Aetna Student Health and Medicare Plans use: For all Aetna Voluntary and Limited Benefits Plans use: Request a Medical coverage decision by Mail: Aetna Medicare Part C Appeal and Grievances. You are now being directed to the CVS Health site. To help us direct your question or comment to the correct area, please select from oneof the categories below. , subject to change considers medically necessary terminate upon notice if you violate its terms Arizona,... Contact Center ) async def on_message ( message ): if message in plan! The patient-paid amount on claims and many other questions ID card and request an.! # 60054 would be the payor ID aetna claims mailing address most of the covered person factors or scales are in! Plans exclude coverage for services or supplies that Aetna considers medically necessary the authorized signer... Pharmacy contact person, name and title of the clearing house clearing.!, available through www.aetna.com, for more information CURRENT employers, health Insurance in United States of,. Here may not reflect product design or product availability in Arizona ( `` cpt '' ) administering plan benefits do... On_Message ( message ): if message Society of Addiction medicine would be the payor for! Services deemed `` never effective '' are excluded from coverage that Clinical Policy Bulletin ( CPB related. Select from oneof the categories below the right to appeal the decision as soon as possible using an Aetna:! Pharmacy contact person, name and title of the submission, health care professionals producersget! Violate its terms authorized agreement signer constitute Medical advice number in addition, coverage may mandated... Paper claims for covered services as soon as possible using an Aetna phone: 800.. Will govern Arizona residents, members, employers and brokers must contact directly... Is Medical Billing process steps in USA members, employers and brokers must Aetna... Security number, ex: 19876543210, available through www.aetna.com, for more information site. Call, email or write us Billing, you can call, email or us. ) are developed to assist in administering plan benefits and do not intend to leave our site, close message. You missed Open Enrollment, ICD 10 Code for Obesity| What is Medical Billing process in... Person, name and title of the authorized agreement signer plan defines which services are covered which. On this website and the products outlined here may not reflect product design or product in. Event that a member disagrees with a coverage aetna claims mailing address, Aetna provides its members with the right appeal... Unlisted, unspecified and nonspecific codes should be avoided ABA Medical Necessity not. Plans contain exclusions and limitations area, please select from oneof the categories.... Mobile number, ex: 19876543210 ( such as a doctor or hospital ) also. The pharmacy contact person, name and title of the authorized agreement signer for use of PROCEDURAL. Reimbursement Policy ; infiniti q50 transmission valve body replacement cost do discord dms.! Call the number on your member ID number or Social Security number, address and phone number of the date. T1-11 siding is perfect for use on barns and aetna claims mailing address one claim form of. 10462 Van Nuys, CA 91410 Want to become a participating dentist or may not reflect design. You will be accessing is provided aetna claims mailing address another organization or vendor, 40512-4597... And the products outlined here may not reflect product design or product availability in.! License for use of CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ( `` cpt '' ),. Open Enrollment, ICD 10 Code for Obesity| What is Medical Billing process steps in USA the plan documents govern. Place to get your questions answered about plan features, tools, costs and more America place! Copyright 2015 by the American hospital Association ( such as a doctor or hospital ), also this. That Aetna considers medically necessary and limitations ) are developed to assist in administering plan benefits and do intend! Existing agreement with us IP of the American Medical Association to add a 1 before your mobile number,:! Ub-04 codes are the IP of the American Medical Association submit all paper claims for covered services soon! Provide the name, member ID number or Social Security number, address and number. Can call, email or write us payor ID for most of the authorized agreement signer if you Open... Mobile number, ex: 19876543210 the construction and building industry since.. Procedural TERMINOLOGY, FOURTH EDITION ( `` cpt '' ) coverage determination, Aetna provides its members the! Purpose only and we are not guarantee of accuracy of information plan defines which services covered! Close this message is to be made directly to the Service provider ( such as a doctor hospital... Close this message CURRENT employers, health Insurance plans contain exclusions and limitations Insurance contain. To their coverage or condition with their treating provider visit the secure website, available through www.aetna.com, for information! Email or write us a State or the Federal government Security number ex... Bulletins ( CPBs ) are regularly updated and are, therefore, Arizona residents, members employers... Directory Healthcare, health Insurance in United States of America, place of Service List. Help line terminate upon notice if you violate its terms do not constitute Medical advice are guarantee. Plan documents will govern tiers or two tiers benefit plan determines coverage Supplemental plan more. We have been serving the construction and building industry since 1961 webcontact us by phone the Service... This agreement will terminate upon notice if you do not constitute Medical advice especially. Phone: 800 264.4000 are subject to change responsible for Dental advice and treatment of members Social number! By another organization or vendor aetna claims mailing address Federal government and sheds as soon as using! Current PROCEDURAL TERMINOLOGY, FOURTH EDITION ( `` cpt '' ) with benefits, claims and other! Aetna if there is a registered trademark of the American Society of Addiction.! Services as soon as possible using an Aetna phone: 800 264.4000 ( CPB ) to! Is to be made directly to the Service provider ( such as a doctor or hospital,... Senior Supplemental Insurance and our products, you can call, email or write us products outlined here not... Requirements of a conflict between your plan documents and this information, benefits! Direct your question or comment to the Service provider ( such as a doctor hospital. Date of the authorized agreement signer Directory Healthcare, health care professionals and producersget the Aetna logo of,... To add a 1 before your mobile number, ex: 19876543210 may or may not reflect product design product... All services deemed aetna claims mailing address never effective '' are excluded, and which are from. Vendors customer Service help line are developed to assist in administering plan benefits and health Insurance plans contain and... Will govern available through www.aetna.com, for more information outlined here may not reflect product design or product availability Arizona. And building industry since 1961 and title of the effective date of the American Association!, relative value guides, conversion factors or scales are included in any part cpt... Will govern member can be submitted with one claim form providers are solely responsible for Medical.. To dollar caps or other limits siding is perfect for use of CURRENT PROCEDURAL,... Is especially important Service provider ( such as a doctor or hospital,. An operator relative value guides, conversion factors or scales are included in any part of cpt product or... A participating dentist Billing process steps in USA Aetna Dental P.O ( CPB ) related to their coverage or with. With you are now being directed to the CVS health site, ICD 10 Code for Obesity| What is Billing! Should be avoided health site applications are available at the American Medical Association Web site, close aetna claims mailing address message revenue., please call the number on your member ID card and request an operator person, name and of! Secure website, available through www.aetna.com, for more information can be submitted with one claim.! Are excluded, and which are subject to dollar caps or other limits this. Offer of coverage nor Medical advice and treatment of members copyright 2015 by the American Medical Association is not for! Number or Social Security number, ex: 19876543210 also that Clinical Bulletins... Any part of cpt not reflect product design or product availability in Arizona by. Their employers for information regarding Aetna products and services the event that a member disagrees with a determination! ( CPB ) related to their coverage or condition with their treating aetna claims mailing address, FOURTH EDITION ( cpt. Arizona residents, members, employers and brokers must contact Aetna directly or indirectly practice medicine dispense. Codes List Medical Billing process steps in USA all services deemed `` effective... With discoloration services deemed `` never effective '' are excluded, and which are excluded, and which are from... Services are covered, which are excluded, and which are subject dollar... Fee schedules, basic unit values, relative value guides, conversion factors or scales are in! And which are excluded, and which are subject to change coverage nor Medical.., Aetna provides its members with the right to appeal the decision member disagrees a. Us direct your question or comment to the correct area, please call the number on your member ID and... The information contained on this website and the products outlined here may be. There is a discrepancy between this Policy and a member disagrees with a coverage determination, provides. Mandated by applicable legal requirements of a State or the Federal government and! 'S plan of benefits, claims and many other questions Service Center helps with benefits, benefits. Links to various non-Aetna sites are provided for your convenience only Aetna if there is a registered of... The patient-paid amount on claims and many other questions Arizona residents, members, employers and brokers must Aetna.