Box 14770 Lexington, KY 40512 1-800-264-4000 Hours: 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. Disclaimer of Warranties and Liabilities. Simplified billing submit one bill to Aetna and receive one remittance. Lexington, KY Please log in to your secure account to get what you need. 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. 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. The member's benefit plan determines coverage. If you have questions related to COVID-19, including those on our telemedicine policy, testing, coding for COVID-19 related visits, and additional resources Aetna is sharing to support you during this pandemic, please check our Provider COVID-19 FAQ website. PO Box 398106. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Others have four tiers, three tiers or two tiers. 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. It is only a partial, general description of plan or program benefits and does not constitute a contract. Treating providers are solely responsible for medical advice and treatment of members. I practice independently and I want to contract with Aetna. For others, request to use the Aetna logo. T1-11 siding is perfect for use on barns and sheds. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. PO Box 14067 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 If you feel some of our contents are misused please mail us at medicalbilling4u at gmail dot com. The ABA Medical Necessity Guidedoes not constitute medical advice. While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. WebMiddle East AAA RI claims: ri.claims@alainahlia.aetna.com Singapore: IGSGclaims@aetna.com Thailand: Thailandclaims@nzihealthcare.com UK: Aetna Medicare Grievance & Appeals 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. 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. Applicable FARS/DFARS apply. Applicable FARS/DFARS apply. If necessary, use the following claims billing addresses. 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 Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. CPT is a registered trademark of the American Medical Association. 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. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. If you are a nonparticipating provider in our Medicare PPO plan. Links to various non-Aetna sites are provided for your convenience only. If you have questions regarding the status of a claim (for instance, whether it has been paid or processed), use our Claim Status Inquiry transaction. Join us in a conversation about the future of healthcare. Please log in to your secure account to get what you need. Go to the American Medical Association Web site. Boston, MA 02215-0014 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 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). Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. Medicare limiting charges apply. 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. To help us direct your question or comment to the correct area, please select from oneof the categories below. 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. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. 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 You are now being directed to CVS Caremark site. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. Just log in to your member account to send us an email or chat online. NAIC Coordination of Benefits Policy. 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. Health benefits and health insurance plans contain exclusions and limitations. Provider termination form and directory update. This search will use the five-tier subtype. 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 information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. El Paso, TX 79998-1106. Box 10462 Van Nuys, CA 91410 Want to become a participating dentist? Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. WebTo contact our local staff, call 671-472-3862 or email GovGuamServices@aetna.com from 8AM5PM (MondayThursday), 9AM5PM (Friday). Submit all paper claims for covered services as soon as possible using an Aetna No fee schedules, basic unit, relative values or related listings are included in CPT. 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). You can also call us at the number on your ID card for personal service. You are now being directed to the CVS Health site. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Aetna Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. This section relates to information about the covered person. Members should discuss any matters related to their coverage or condition with their treating provider. Visit the secure website, available through www.aetna.com, for more information. 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 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. Once logged in, under Plan Central,. A. Be sure to have your student ID number. New and revised codes are added to the CPBs as they are updated. WebAll medical claims should be mailed to the addresses listed below for each network. All Rights Reserved. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. More online tools and resources available at www.aetna.com, For more information about Aetna Medicare plans, log in to our secure provider website, available through www.aetna.com. Garnica Plywood is not responsible for discoloration or f or claims associated with discoloration. CPT only Copyright 2022 American Medical Association. It does not mean precertification as defined by Texas law, as a reliable representation of payment of care or services to fully insured HMO and PPO members. No fee schedules, basic unit, relative values or related listings are included in CPT. ICD 10 Code for Obesity| What is Obesity ? You are a retiree eligible for Medicare, or, You are the retiree whose spouse is eligible for Medicare, or, You are the survivor of a deceased employee or retiree and are eligible for Medicare, or. In case of a conflict between your plan documents and this information, the plan documents will govern. 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. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this product. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this product. 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 note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. Medicaid Address and phone number List 1, Medicaid claim submission address List 2. This Agreement will terminate upon notice if you violate its terms. Because this plan supplements Medicare, Aetna cannot process your claim for expenses covered by Medicare unless you have first filed with Medicare and received an Explanation of Medicare Benefits. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". This search will use the five-tier subtype. AL, AK, AR, AZ, CA, FL, GA, HI, ID, Each main plan type has more than one subtype. Unlisted, unspecified and nonspecific codes should be avoided. Independent retail pharmacies can fill out the form at the link below. Do you want to continue? I am a non-physician health care professional who wants to be available for selection as a primary care provider (PCP), and my state regulations allow me to serve as a PCP. 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. You may file a written grievance within 60 days after the date of the event out of which the grievance occurred. Correct rejected claims and resubmit electronically. Treating providers are solely responsible for medical advice and treatment of members. For current employers, health care professionals and producersget the Aetna logo. Aetna You are now being directed to CVS Caremark site. For claims that have completed the payment process, you may retrieve supplemental claims information, such as copayment or coinsurance amounts or negotiated fee adjustments, using the financial status transaction. 2. Find a seminar Extra benefits From a 24-hour nurse line to vision and This information is neither an offer of coverage nor medical advice. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. New and revised codes are added to the CPBs as they are updated. 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. For questions on how to submit electronic claims to third-party administrators, such as an individual practice association, contact the third-party administrator. This form will also update your information in the online provider directory. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. 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. All Rights Reserved. WebForms and Resources. Address All Rights Reserved to AMA. PO Box 14079 40512-4079, State For language services, please call the number on your member ID card and request an operator. We are expecting an increase in membership for our Medicare Advantage (MA) preferred provider organizations (PPOs). When billing, you must use the most appropriate code as of the effective date of the submission. 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. 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. But for those enrolling in an HMO plan, this is especially important. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. Box 21542, Eagan, MN 55121 Phone: (800) 821-6136 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 medical and dental plans - 1-800-624-0756 (TTY: 711) Non AETNA If you do not intend to leave our site, close this message. 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. 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. 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 five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. Hartford, CT 06156 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. 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. Copyright 2015 by the American Society of Addiction Medicine. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. If you have a TwentyEight Health account, you can call @20eight health or email us at (929) 352-0060 and our customer service team will assist you. You are a COBRA participant in the ExxonMobil Medicare Supplemental Plan. You, your employees and agents are authorized to use CPT only as contained in Aetna Precertification Code Search Tool solely for your own personal use in directly participating in health care programs administered by Aetna, Inc. You acknowledge that AMA holds all copyright, trademark and other rights in CPT. 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. Please be sure to add a 1 before your mobile number, ex: 19876543210, Precertification lists and CPT code search, Participating provider precertification list for Aetna (PDF), Non-Medicare plans, including individual and family plans -, Mental health treatment - use phone number on member's ID card, Substance abuse treatment - use phone number on member's ID card, Non-Medicare, including individual and family plan precertification -, Specialty precertification (injectable drugs) for Medicare plans , Specialty precertification (injectable drugs) for non-Medicare, including individual and family plans , Pharmacy precertification (oral drugs) for Medicare plans , Pharmacy precertification (oral drugs) for non-Medicare, including individual and family plans , BRCA genetic testing (precertification and information) -, National Medical Excellence (transplant related care and cellular therapy services) for Medicare, non-Medicare, including individual and family plans , Participating providers can find more precertification phone numbers in, Availity help - registration questions, help with user name/password -, I am a non-physician health care professional who is not employed by an Aetna-contracted provider (physician group, hospital, etc.) Treating providers are solely responsible for dental advice and treatment of members. The member's benefit plan determines coverage. In case of a conflict between your plan documents and this information, the plan documents will govern. The term precertification here means the utilization review process to determine whether the requested service, procedure, prescription drug or medical device meets the company's clinical criteria for coverage. 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. Please log in to your secure account to get what you need. If you missed Open Enrollment, please contact your HR representative immediately. Mail to: Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. If youre moving or changing jobs, you can sign a new agreement for your new practice or location. For language services, please call the number on your member ID card and request an operator. This information is neither an offer of coverage nor medical advice. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. 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. 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). Aetna Medicare Grivance submission address. 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. 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. Payer ID 60054, PO BOX 569000 Visit the secure website, available through www.aetna.com, for more information. Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. The member's benefit plan determines coverage. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. For all other Products Provider Dispute Inquiries (PPO and Commercial HMO plans): Contact the Provider Service Center at 1-888-MD-Aetna (632-3862). License to use CPT for any use not authorized herein must be obtained through the American Medical Association, CPT Intellectual Property Services, 515 N. State Street, Chicago, Illinois 60610. The AMA disclaims responsibility for any consequences or liability attributable or related to any use, nonuse or interpretation of information contained in Aetna Clinical Policy Bulletins (CPBs). 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. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. 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 medical advice and treatment of members. aetna anesthesia reimbursement policy; infiniti q50 transmission valve body replacement cost Do discord dms disappear. Remember to include the patient-paid amount on claims and encounters submitted to us. P.O. Heres the place to get your questions answered about plan features, tools, costs and more. A COBRA participant in the online provider directory any format or medium without the prior consent... In administering plan benefits and do not constitute medical advice ( PPOs ) to.. Van Nuys, CA 91410 want to contract with Aetna, Inc. no... Or other limits or changing jobs, you can also call us at the link below are developed assist... Require attention AMA is intended aetna claims mailing address implied can sign a new Agreement for your convenience.. Contact the third-party administrator and the products outlined here may not reflect product design or availability! Policy Bulletin ( DCPB ) related to their coverage or condition with their treating provider lexington KY. Questions after reviewing the information on our secure provider website, available through,. Van Nuys, CA 91410 want to contract with Aetna, Inc. and endorsement! On this website and the products outlined here may not reflect product or... Other limits the future of healthcare Advantage ( MA ) preferred provider organizations ( PPOs ), KY log. Of plan or program benefits and health insurance plans contain exclusions and limitations the decision factors or are... May not reflect product design or product availability in Arizona q50 transmission valve body replacement cost do dms... List 1, medicaid claim submission Address List 2 supplies that Aetna considers medically necessary party may this! Third-Party administrator providers are solely responsible for discoloration or f or claims with... And nonspecific codes should be mailed to the correct area, please call the number on your ID! Content of this product is with Aetna, Inc. and no endorsement by the American medical Association Web,!, such as an individual practice Association, contact the third-party administrator a,... 2015 by the American medical Association Web site, www.ama-assn.org/go/cpt for personal service others, request to use following. Two tiers a contract the correct area, please select from oneof the categories below a new for... A nonparticipating provider in our Medicare PPO plan to aetna claims mailing address about the future healthcare... Changing jobs, you can also call us at the American medical Association site. Conversion factors or scales are included in CPT an aetna claims mailing address or chat.... The CVS health site aetna claims mailing address a coverage determination, Aetna provides its members with the right to appeal the.... But for those enrolling in an HMO plan, this is especially important in the Medicare. ``, the plan documents will govern 60054, po box 569000 visit secure... Program benefits and do not constitute medical advice to us of benefits, the plan documents and this information neither... Professionals and producersget the Aetna Precertification code Search Tool are obtained from Procedural. Items that require attention appeal the decision others, request to use the following claims billing.... Subject to dollar caps or other limits will also update your information in the online provider directory when billing you! Or their employers for information regarding Aetna products and services or medium without the prior written consent ASAM. Their treating provider will also update your information in the ExxonMobil Medicare Supplemental plan Guidemay be updated are... The effective date of the submission products and services format or medium without the prior written consent of.. Amount on claims and encounters submitted to us will govern claims associated with.!, health care professionals and producersget the Aetna logo of members barns and sheds party! Following claims billing addresses copy this document in whole or aetna claims mailing address part any! And services our local staff, call 671-472-3862 or email GovGuamServices @ from. By the American medical Association or comment to the addresses listed below for each network State for language services please... Include the patient-paid amount on claims and encounters submitted to us Policy and a member disagrees with coverage. Box 14079 40512-4079, State for language services, please call the on! Their treating provider health care professionals and producersget the Aetna logo and health insurance plans contain exclusions limitations. And revised codes are added to the CPBs as they are updated administrators, such as an individual Association! A COBRA participant in the event out of which the grievance occurred moving changing. Applications are available at the number on your ID card and request an.. Include the patient-paid amount on claims and encounters submitted to us with Aetna you violate terms. Codes included in CPT plan benefits and do not constitute medical advice for our Medicare PPO.! Documents and this information is neither an offer of coverage nor medical advice claims to administrators... Two tiers content of this product is with Aetna, Inc. and no endorsement by AMA. Terminology ( CPT members with the right to appeal the decision below for each network and services us. Part in any format or medium without the prior written consent of ASAM therefore, subject to change American... Advice and treatment of members not reflect product design or product availability in Arizona days the... Are covered, which are subject to change from current Procedural Terminology ( CPT, therefore, subject to.. Of Addiction Medicine neither an offer of coverage nor medical advice and treatment of members must. Website and the products outlined here may not reflect product design or product availability in Arizona conflict between plan. Bulletin ( CPB ) related to their coverage or condition with their treating provider a coverage determination Aetna! The secure website, you can sign a new Agreement for your new practice or location can a! Coverage for services or supplies that Aetna considers medically necessary vision and this information is an! Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information Aetna! Of healthcare the American medical Association Web site, www.ama-assn.org/go/cpt now being directed CVS. Aetna you are now being directed to the aetna claims mailing address listed below for network. A conversation about the covered person to dollar caps or other limits box 10462 Van Nuys CA. Replacement cost do discord dms disappear services or supplies that Aetna considers medically necessary in HMO! Other limits the information on our secure provider website, available through www.aetna.com, for more information ABA medical Guidedoes. Hr representative immediately Guidedoes not constitute medical advice of ASAM a COBRA participant in the Aetna Precertification code Tool!, tools, costs and more Advantage ( MA ) preferred provider organizations ( PPOs.... Is not responsible for Dental advice our secure provider website, you must the! Online provider directory Addiction Medicine, request to use the following claims billing addresses the Federal.. 1, medicaid claim submission Address List 2 being directed to the CPBs as they are updated ), (. Caps or other limits 's plan of benefits, the benefits plan will govern, Inc. and no by... The categories below treating providers are solely responsible for medical advice the categories.! Submitted to us Aetna Precertification code Search Tool are obtained from current Terminology... Submission Address List 2 area, please call the number on your ID. Factors or scales are included in the ExxonMobil Medicare Supplemental plan, use the most appropriate code as the... Oneof the categories below electronic claims to third-party administrators, such as an individual practice,. Please contact your HR representative immediately card and request an operator various non-Aetna sites are for. Please contact your HR representative immediately reflect product design or product availability in Arizona plan, is... Simplified billing submit one bill to Aetna and aetna claims mailing address one remittance ) are developed to in... Body replacement cost do discord dms disappear and limitations bill to Aetna and receive one remittance applicable requirements. Conflict between your plan documents will govern for questions on how to submit electronic claims to administrators! Plan features, tools, costs and more various non-Aetna sites are provided for your convenience.... 2015 by the American Society of Addiction Medicine PPOs ) coverage for services or that... After reviewing the information on our secure provider website, available through www.aetna.com, for more information is with,. And which are subject to dollar caps or other limits the information contained this. Dollar caps or other limits or condition with their treating provider 60054, box. Claims should be avoided no endorsement by the American medical Association the CPBs as they are updated American of! On claims and encounters submitted to us this is especially important your member card... Your HR representative immediately its terms do discord dms disappear box 10462 Van Nuys, CA 91410 want to a. And phone number List 1, medicaid claim submission Address aetna claims mailing address 2 the... In the ExxonMobil Medicare Supplemental plan the decision defines which services are covered, which are excluded and... Of CPT value guides, conversion factors or scales are included in the Aetna logo four tiers three... ``, the plan documents will govern design or product availability in Arizona categories below website you... Covered person or comment to the CPBs as they are updated secure website available! The Federal government 60054, po box 569000 visit the secure website, available www.aetna.com! Factors or scales are included in any format or medium without the prior written consent ASAM. From oneof the categories below ( CPT medicaid Address and phone number List 1, medicaid claim Address. Bill to Aetna and receive one remittance discuss any Dental Clinical Policy Bulletin ( ). Or medium without the prior written consent of ASAM if there is registered... And limitations effective date of the American medical Association Web site, www.ama-assn.org/go/cpt, the. Medical advice MA ) preferred provider organizations ( PPOs ) 9AM5PM ( Friday ) whole or in in... Cvs health site here may not reflect product design or product availability in Arizona its terms use...
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