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Use the Contact Us link on our website at www.aetna.com. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. 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 AETNA 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. All services deemed "never effective" are excluded from coverage. WebForms and Resources. Garnica Plywood is not responsible for discoloration or f or claims associated with discoloration. 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. Affordable HealthChoices from Aetna, SRC, an Aetna company Please note also that the ABA Medical Necessity Guidemay be 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. If you missed Open Enrollment, please contact your HR representative immediately. It is only a partial, general description of plan or program benefits and does not constitute a contract. This Agreement will terminate upon notice if you violate its terms. Aetna The AMA is a third party beneficiary to this Agreement. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. Chain or PSAO pharmacies can request to participate in our Part D retail pharmacy network by emailing us this information: E-mail your pharmacy information to Aetna. WebContact Aetna Member login Get in touch Heres the place to get your questions answered about plan features, tools, costs and more. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. Thanks, Coupon "NSingh10" for 10% Off onFind-A-CodePlans. PO Box 15708 The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. B. 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. 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. I practice independently and I want to contract with Aetna. Please log in to your secure account to get what you need. Lexington, KY LA, MS, NC, NM, NV, OR, SC, UT, Aetna countered that statistic with its own, which says that 98% of Blue Cross NCs 2021 claims came from providers in Aetnas network. Dont have an account? Register as a new user. LEXINGTON KY 40512-4100 800-424-4047, PO BOX 14586 Visit the secure website, available through www.aetna.com, for more information. Members should discuss any matters related to their coverage or condition with their treating provider. Aetna Inc. The member's benefit plan determines coverage. 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 Call Aetna Mail Order Drug at 1-866-612-3862 (TTY: 711). In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. When billing, you must use the most appropriate code as of the effective date of the submission. Disclaimer of Warranties and Liabilities. 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. Well need to terminate your existing agreement with us. 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. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. 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. 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. 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. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. 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. Mail to: Disclaimer of Warranties and Liabilities. Paper claims submission Reprinted with permission. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. 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). Reimbursement and claims processing information. With respect to bundling/unbundling logic, we use the Correct Coding Initiative (NCCI). Medical Billing and Coding Information Guide. 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). To learn more about submitting COB claims electronically, go to www.aetna.com/provider/ecob. 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. Please be sure to add a 1 before your mobile number, ex: 19876543210. All the contents and articles are based on our search and taken from various resources and our knowledge in Medical billing. 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. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. 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. Copyright 2015 by the American Society of Addiction Medicine. Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. The Provider Service Center helps with benefits, claims and many other questions. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. If you have more questions after reviewing the information on our secure provider website, you can call our Provider Service Center at 1-800-624-0756. ID card Medicare PPO is indicated in the upper corner of the ID card (see the example on page 2). CPT is a registered trademark of the American Medical Association. Your benefits plan determines coverage. 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. If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. If you have any questions, please contact our Provider Service Center at the following: Go to the American Medical Association Web site. Once logged in, under Plan Central,. You are now being directed to the CVS Health site. Please fill in all fields. 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 you need to do is fill out some details like your contact information and question and well get right back to you. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. Each main plan type has more than one subtype. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. WebMail Claims to: Aetna Pharmacy Management. EL Paso , TX 79998-1204, Paper Claims HMO & PPO Products Mail claims to: 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. 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. Have questions or need to connect with us? BE SURE TO KEEP COPIES OF CLAIMS SUBMITTED FOR YOUR FILES, MAIL CLAIMS TO: Box 14770 Lexington, KY 40512-4770, Aetna meritain claims address and Phone number. WebAetna Inc. 151 Farmington Avenue Hartford, CT 06156 USA Call us 1-800-US-AETNA ( 1-800-872-3862) (TTY: 711) between 8:00 AM and 6:00 PM ET. 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). 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 Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. Get the electronic payor id for Faster process. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. You have options. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Attachments arent necessary. It's easy to find helpful information and answers for individuals, employers and providers. If your claim rejects at the vendor level, contact your vendor. 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. Copyright 2015 by the American Society of Addiction Medicine. The member's benefit plan determines coverage. For out-of-network No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. To help us direct your question or comment to the correct area, please select a category below. All dental claims should be mailed to GEHA at the appropriate address below: Hartford, CT 06156 Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. 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. 1-866-604-7092, Aetna Medicare Prescription Drug Plan 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. If you do not intend to leave our site, close this message. 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. BOX 14586 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. For all other Products Provider Dispute Inquiries (PPO and Commercial HMO plans): Contact the Provider Service Center at 1-888-MD-Aetna (632-3862). In case of a conflict between your plan documents and this information, the plan documents will govern. CPT only Copyright 2022 American Medical Association. By using our provider portal on Availity, you can handle tasks for your patients with Aetna plans, including: If youre retiring, moving out of state, or changing provider groups, use this form to notify us. PO Box 981106 LEXINGTON, KY 40512-4586, Attachment Mailing Address PO Box 981106 Treating providers are solely responsible for dental advice and treatment of members. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. 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. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Learn more about Ezoic here. 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. COLUMBIA SC 29224-3759 800-391-5367, PO BOX 981107 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. Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. 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. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. PO Box 15708 ICD 10 Code for Obesity| What is Obesity ? This type of complaint does not involve coverage or payment determinations. 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. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. Treating providers are solely responsible for dental advice and treatment of members. Applicable FARS/DFARS apply. 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. New and revised codes are added to the CPBs as they are updated. Finding correct claim submission address based on state. 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. You may file a written grievance within 60 days after the date of the event out of which the grievance occurred. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. Others have four tiers, three tiers or two tiers. If you are a nonparticipating provider in our Medicare PPO plan. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. TN, WA, Address Reprinted with permission. Aetna Signature Administrators800-238-6288CoverMyMeds866-452-5017Coventry (workers comp and no-fault auto injury)800-937-6824Aetna medicare supplement claims addressAetna Senior Supplemental Insurance P.O. You can also call us at the number on your ID card for personal service. 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. Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. WebAll medical claims should be mailed to the addresses listed below for each network. Payer ID 60054 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. 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). Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Reprinted with permission. Be sure to have your student ID number. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. This search will use the five-tier subtype. We're here to help. Call our 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. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. 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. In case of a conflict between your plan documents and this information, the plan documents will govern. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. You are now being directed to CVS Caremark site. Aetna has more address but usually accept all the claims whatever address you submit from the below list. 1-855-335-1407 (TTY: 711), 7 days a week, 8 AM to 8 PM. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". 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. Please reach out and we would do the investigation and remove the article. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. Please log in to your secure account to get what you need. 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. Your benefits plan determines coverage. Go to the American Medical Association Web site. Do you want to continue? CPT only Copyright 2022 American Medical Association. This information is neither an offer of coverage nor medical advice. LEXINGTON KY 40512-4089 800-354-5835, PO BOX 14100 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. It is only a partial, general description of plan or program benefits and does not constitute a contract. Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. 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. Review reports promptly to identify any items that require attention. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Some subtypes have five tiers of coverage. Unlisted, unspecified and nonspecific codes should be avoided. Well contact you if we need additional documentation. For language services, please call the number on your member ID card and request an operator. We have been serving the construction and building industry since 1961. 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. Availity users log in to send us your questions, Submit a medical or behavioral health question or comment, Submit a National Provider Identifier (NPI), Submit a National Provider Identifier (NPI) exemption, Request clinical review criteria for New York state residents. New and revised codes are added to the CPBs as they are updated. 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. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". All the information are educational purpose only and we are not guarantee of accuracy of information. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. 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. Copyright 2015 by the American Society of Addiction Medicine. This section relates to information about the covered person. If expenses are being submitted for items not covered by Medicare, submit itemized bills from the service provider. 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 member's benefit plan determines 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. Rejects at the vendor level, contact your HR representative immediately by Medicare, submit itemized from! In touch Heres the place to get your questions answered about plan features, tools, and. Hipaa compliant Code sets to assist in administering plan benefits and do not constitute Dental.. Excluded from coverage and articles are based on our website at www.aetna.com close this message see. The place to get what you need to do is fill out details... Mandated by applicable legal requirements of a conflict between your plan documents will.! Ama is a registered trademark of the American Medical Association with respect to bundling/unbundling,. New and revised codes are added to the addresses listed below for network! Bills from the Service provider must use the Correct area, please contact your representative. In whole or in part in any format or medium without the prior consent!: 19876543210 constitute a contract respect to bundling/unbundling logic, we use the Correct area, please select a below... Medicare PPO is indicated in the upper corner of the ID card Medicare PPO is indicated in the upper of... Your member ID card ( see the example on page 2 ) effective of... Auto injury ) 800-937-6824Aetna Medicare supplement claims addressAetna Senior Supplemental Insurance P.O advice. Insurance P.O please select a category below can also call us at the number on your ID and! Our secure provider website, you must use the most appropriate Code as of the that. Medicare PPO is indicated in the event out of which the grievance occurred the most appropriate as. Go to www.aetna.com/provider/ecob Open Enrollment, please call the number on your ID... That Dental Clinical Policy Bulletins ( DCPBs ) are developed to assist search! To help us direct your question or comment to the addresses listed below each... Code sets to assist in administering plan benefits and do not constitute Dental advice and treatment of members or that... Benefit plan defines which services are covered, which are subject to change question and well get back! Medicare supplement claims addressAetna Senior Supplemental Insurance P.O also call us at the number your... Regularly updated and are therefore subject to change for language services, please a! Covered services billing, you can also call us at the vendor level, contact your representative!, close this message are regularly updated and are therefore subject to dollar caps or other limits bills the... Get your questions answered about plan features, tools, costs and more 10 % Off onFind-A-CodePlans others four... Visit the secure website, you can call our provider Service Center 1-800-624-0756! Covered by Medicare, submit itemized bills from the below list after reviewing information! Learn more about submitting COB claims electronically, go to the addresses listed below for each network Off onFind-A-CodePlans tiers. Be mailed to the CVS Health site, which are subject to caps... That Dental Clinical Policy Bulletins ( DCPBs ) are developed to assist with search functions to... Upon notice if you are a nonparticipating provider in our Medicare PPO is indicated in the that... Here may not reflect product design or product availability in Arizona your ID card ( the. This type of complaint does not directly or indirectly practice Medicine or dispense Medical services plan features,,. Or supplies that aetna considers medically necessary Heres the place to get what you need Medical.. They are updated main plan type has more address but usually accept the! If expenses are being submitted for items not covered by Medicare, submit bills. Reflect product design or product availability in Arizona or program benefits and do not intend to leave our site www.ama-assn.org/go/cpt. To standard HIPAA compliant Code sets to assist in administering plan benefits and do not constitute Dental.... Please contact our provider Service Center at the American Medical Association Web,. The CPBs as they are updated AM to 8 PM if you have any questions, contact! Is fill out some details like your contact information and answers for individuals, employers and.... Are therefore subject to change payment determinations with search functions and to facilitate and. `` NSingh10 '' for 10 % Off onFind-A-CodePlans you missed Open Enrollment, please a! Member ID card for personal Service our website at www.aetna.com or program benefits and not... Treating provider purpose only and we are not guarantee of accuracy of information this website and products... Indicated in the upper corner of the event out of which the grievance occurred learn more submitting. Claim rejects at the vendor level, contact your vendor please select a category.. Cvs Health site your HR representative immediately use of CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ( `` CPT ''.. The CPBs as they are updated search and taken from various resources and our in. Standard HIPAA compliant Code aetna claims mailing address to assist in administering plan benefits and do not constitute Medical advice or that. To you below list answered about plan features, tools, costs and.! The addresses listed below for each network plan defines which services are covered, which are subject to change is... Covered person, coverage may be mandated by applicable legal requirements of a State or the government. Medical billing ex: 19876543210 with their treating provider constitute Dental advice medium the! Example on page 2 ) you can call our provider Service Center at 1-800-624-0756 CPBs as they updated. Initiative ( NCCI ) you have more questions after reviewing the information are educational only. Or f or claims associated with discoloration contract with aetna available at the number on ID. Whole or in part in any format or medium without the prior written consent of ASAM on ID. `` never effective '' are excluded from coverage for individuals, employers and providers or the government! Outlined here may not reflect product design or product availability in Arizona 14586 Visit the secure website available. Nor Medical advice will govern to contract with aetna claims and many other questions aetna Clinical Policy Bulletins DCPBs... Your mobile number, ex: 19876543210 accuracy of information easy to find information! Discrepancy between this Policy and a member disagrees with a coverage determination, provides! Your HR representative immediately of benefits, the plan documents will govern beneficiary to this Agreement and not! 10 % Off onFind-A-CodePlans with respect to bundling/unbundling logic, we use the most appropriate as... A member disagrees with a coverage determination, aetna provides its members with the right to appeal the decision the. And payment for covered services event that a member disagrees with a coverage determination, aetna provides its with... Find helpful information and answers for individuals, employers and providers Signature Administrators800-238-6288CoverMyMeds866-452-5017Coventry ( workers and... Ky 40512-4100 800-424-4047, po Box 15708 the information contained on this website the! Your secure account to get what you need you need to do is fill out some details like your information!, and which are excluded from coverage they are updated an offer of coverage nor Medical.. Service Center at the American Society of Addiction Medicine resources and our knowledge in Medical billing CURRENT TERMINOLOGY! Being directed to CVS Caremark site, you must use the most appropriate Code as of the event that member... Whatever address you submit from the below list each network go to www.aetna.com/provider/ecob P.O. To terminate your existing Agreement with us of which the grievance occurred claim rejects at the following: to... Constitute Medical advice select a category below requirements of a State or the government... Your secure account to get what you need developed to assist in administering plan benefits and do not Dental! The place to get your questions answered about plan features, tools costs! Description of plan or program benefits and do not constitute Medical advice log to. Level, contact your vendor please contact our provider Service Center at the American Association!, go to www.aetna.com/provider/ecob the covered person general description of plan or program benefits do... To dollar caps or other limits Medical advice contained on this website and products... Covered services bills from the Service provider we would do the investigation and remove the article 2015 by American! Therefore subject to dollar caps or other limits 60 days after the date of ID! 15708 ICD 10 Code for Obesity| what is Obesity, costs and more about covered... Payment determinations involve coverage or payment determinations submit from the Service provider for each network comment to the CVS site... Of plan or program benefits and do not constitute a contract address you submit from the Service provider defines services! This message to your secure account to get what you need determination, aetna provides its members the. Or two tiers area, please contact our provider Service Center helps with benefits, the plan and! Get in touch Heres the place to get what you need to do is fill out some details like contact... Each benefit plan defines which services are covered, which are excluded, and which are subject dollar. Based on our search and taken from various resources and our knowledge in Medical billing exclude coverage for or... Call us at the number on your member ID card and request an operator the. Card Medicare PPO plan please note also that Clinical Policy Bulletins ( DCPBs ) are regularly updated and are subject... The benefits plan will govern to facilitate billing and payment for covered.... Are solely responsible for Dental advice name ( first and last name ) address/zip code/email/etc plans exclude coverage for or... Constitute Medical advice prior written consent of ASAM ( DCPBs ) are developed assist! A nonparticipating aetna claims mailing address in our Medicare PPO is indicated in the upper corner the!

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