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. Well contact you if we need additional documentation. 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. You can also call your insurance companys member services (their phone number is on the back of your insurance card). 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. 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. 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. Indicate which type of covered person you are. 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. While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. 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. Aetna's conclusion that a particular service or supply is medically necessary does not constitute a representation or warranty that this service or supply is covered (i.e., will be paid for by Aetna). For 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. New and revised codes are added to the CPBs as they are updated. WebAetna Better Health Illinois Claims Mailing Address Health (3 days ago) Web (3 days ago) WebAetna better health claims address: Aetna Better Health PO Box 60938 Phoenix, AZ 85082: 866-316-3784: Aetna meritain claims address and Phone number: https://www.health-improve.org/aetna-better-health-illinois-claims-mailing-address/ Attach all copies of what Medicare has paid (Explanation of Medicare Benefits). LEXINGTON KY 40512-4100 800-424-4047, PO BOX 14586 No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. Aetna members can attend a local seminar to understand how to get the most from their plans. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. This section relates to information about the patient. For all other Products Provider Dispute Inquiries (PPO and Commercial HMO plans): Contact the Provider Service Center at 1-888-MD-Aetna (632-3862). Others have four tiers, three tiers or two tiers. All Rights Reserved to AMA. PO Box 14579 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. 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. Aetna's conclusion that a particular service or supply is medically necessary does not constitute a representation or warranty that this service or supply is covered (i.e., will be paid for by Aetna). If you find anything not as per policy. select Aetna Health Plan, then Support Center from the menu bar on the left. Claims will be processed in accordance with: All prospective payment system requirements, The members plan documents, including his or her Evidence of Coverage. This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. I may or may not be employed by an Aetna-contracted provider. 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. 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. El Paso, TX 79998-1106, Appeals Mailing Address Provider Resolution Team No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. For questions on how to submit electronic claims to third-party administrators, such as an individual practice association, contact the third-party administrator. A grievance is a type of complaint you make about us or one of our network providers or pharmacies, including a complaint concerning the quality of your care. Applicable FARS/DFARS apply. Links to various non-Aetna sites are provided for your convenience only. MedicalBillingRCM.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com. Use the Contact Us link on our website at www.aetna.com. ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. When billing, you must use the most appropriate code as of the effective date of the submission. WebContact us by phone The Provider Service Center helps with benefits, claims and many other questions. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Find a seminar Extra benefits From a 24-hour nurse line to vision and This search will use the five-tier subtype. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Unlisted, unspecified and nonspecific codes should be avoided. 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 is a third party beneficiary to this Agreement. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. 79998-1106, Aetna Student HealthSM Insurance Denial Claim Appeal Guidelines. The member's benefit plan determines coverage. Aetna has more address but usually accept all the claims whatever address you submit from the below list. If you do not intend to leave our site, close this message. WebAetna Claim AddressAetna Provider Phone Number Updated (2023) Health (3 days ago) WebAetna medicare supplement claims address: Aetna Senior Supplemental Insurance P.O. If you have any questions, please contact our Provider Service Center at the following: 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). 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 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. Medical benefit claim submission Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. 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 information you will be accessing is provided by another organization or vendor. You have options. Please fill in all fields. Box 14597 Lexington, KY 40512-4597 California only: Aetna Dental P.O. El Paso, TX 79998-1106. Lexington, KY 40512-4079 MIAMI FL 33256 800-452-8633, P O BOX 14079 No fee schedules, basic unit, relative values or related listings are included in CPT. New and revised codes are added to the CPBs as they are updated. If these types of bots are repeatedly sending you messages, you can: Use Mutual Servers to determine the server (s) they share with you, and disable Direct Messages Biometric Screenings. We will pay Medicare-allowable rates to you for clean claims for covered services, less the member copayment, coinsurance and/or deductible, as described and required under MA regulations and the members MA PPO plan. 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. WebAetna Dental P.O. WebForms and Resources. The ABA Medical Necessity Guidedoes not constitute medical advice. Go to the American Medical Association Web site. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. Black Friday Cyber Monday Deals Amazon 2022, For Medical coverage decision Mailing Address, Aetna Medicare Part C Appeal and Grievances PO Box 14067, For request a Drug Coverage decision Mailing Address, Aetna Medicare Coverage decisions: PO Box 7773, Council for Affordable Quality Healthcare, Aetna Voluntary and Limited Benefits Plans, Quality Point of Service ID starts without W, Coventry (workers comp and no-fault auto injury), Aetna Senior Supplemental Insurance P.O. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Email, call or chat with The link to NCCI on the Centers for Medicare & Medicaid Services (CMS) website is www.cms.gov/nationalcorrectcodinited/. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. 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. Box 14079 COLUMBIA SC 29224-3759 800-391-5367, PO BOX 981107 If you missed Open Enrollment, please contact your HR representative immediately. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. 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. No fee schedules, basic unit, relative values or related listings are included in CPT. No contract is required to see members enrolled in these plans. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. WebClaims - if you have questions about claims, contact the Provider Service Center (see list below) Credentialing - 1-800-353-1232 (TTY: 711) Dental providers - 1-800-451-7715 For your convenience, we recommend that you add your Member Services number to your phone contacts. If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. The ABA Medical Necessity Guidedoes not constitute medical advice. Aetna countered that statistic with its own, which says that 98% of Blue Cross NCs 2021 claims came from providers in Aetnas network. With respect to bundling/unbundling logic, we use the Correct Coding Initiative (NCCI). 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 defines a service as "never effective" when it is not recognized according to professional standards of safety and effectiveness in the United States for diagnosis, care or treatment. For Medicare HMO plans only: 1-800-624-0756; For all other plans (PPO and Commercial HMO plans): 1-888 MD-Aetna (632-3862); Or visit the Aetna website at www.aetna.com. A. 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. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. ICD 10 Code for Obesity| What is Obesity ? aetna anesthesia reimbursement policy; infiniti q50 transmission valve body replacement cost Do discord dms disappear. Do you want to continue? You can visit www.aetnaeducation.com for easy access to training and resources related to MA plans. 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. 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. Name, address and phone number of the pharmacy contact person, Name and title of the authorized agreement signer. 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. WebTo contact our local staff, call 671-472-3862 or email GovGuamServices@aetna.com from 8AM5PM (MondayThursday), 9AM5PM (Friday). Claims Inquiries To confirm the recorded date of claims receipt or to make other inquiries about claims, you may call Aetna at 1-800-624-0756 for Medicare HMO Products / 1-888-MD-Aetna (632-3862) for All Other Products, or contact your clearinghouse vendor. This information is neither an offer of coverage nor medical advice. If they dont select a PCP, we may select one for them. LEXINGTON KY 40512 800-548-3945, P O BOX 14089 For language services, please call the number on your member ID card and request an operator. Copyright 2015 by the American Society of Addiction Medicine. This information is neither an offer of coverage nor medical advice. 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. CPT only copyright 2015 American Medical Association. In all cases, the patient or authorized person must sign. 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). Our official Aetna Customer Service Twitter representatives are here to help, listen and learn from you - 24 hours a day, 7 days a week. Submit a separate claim form for each eligible family member. Please be sure to add a 1 before your mobile number, ex: 19876543210. For Medicare Products Provider Dispute Inquiries HMO plans only: Contact the Provider Service Center at 1-800-624-0756. Minneapolis, MN 55435-8106 Aetna Mail Order Drug. Treating providers are solely responsible for dental advice and treatment of members. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. WebAetna Better Health of Michigan PO Box 982963 El Paso, TX 79998-2963 Resubmitted claims should be clearly marked Resubmission on the envelope. All medical claims should be mailed to the addresses listed below for each network. 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. Call our LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. 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. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. USA. Treating providers are solely responsible for dental advice and treatment of members. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. 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. If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. Reprinted with permission. Correct rejected claims and resubmit electronically. Reprinted with permission. 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. Tampa Florida 33630 Phone: 800 264.4000. As a result, you are likely to see more patients with these health plans. Visit the secure website, available through www.aetna.com, for more information. Reprinted with permission. Precertification is recommended, but not required. The AMA is a third party beneficiary to this Agreement. 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 defines a service as "never effective" when it is not recognized according to professional standards of safety and effectiveness in the United States for diagnosis, care or treatment. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. CPT is a registered trademark of the American Medical Association. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. WebContact Us Close Menu Contact Us Questions? The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. Machine Readable Data Provider Network Content for Federally-Facilitated Marketplace (FFM) Qualified Health Health benefits and health insurance plans contain exclusions and limitations. Aetna Medical Billing Question and Answer Terms, EVALUATION AND MANAGEMENT CPT code [99201-99499] Full List, Internal Medical Billing Audit how to do. Medicare medical and dental plans - 1-800-624-0756 (TTY: 711) Non Join us in a conversation about the future of healthcare. Your benefits plan determines coverage. Treating providers are solely responsible for medical advice and treatment of members. Or, call your vendors customer service help line. 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. 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. No fee schedules, basic unit, relative values or related listings are included in CPT. While Clinical Policy Bulletins (CPBs) define Aetna's clinical policy, medical necessity determinations in connection with coverage decisions are made on a case by case basis. Aetna provides its members with the link to NCCI on the back of your card... Search functions and to facilitate billing and payment for covered services CPB ) to. Center from the menu bar on the left Provider Dispute Inquiries HMO plans only: contact Provider... Get the most from their plans in CPT you will be accessing is provided by another organization vendor... The prior written consent of ASAM practice Association, contact the Provider Service Center at 1-800-624-0756 should be to! 1-800-624-0756 ( TTY: 711 ) Non Join us in a conversation about the future of healthcare to members! Should be mailed to the CPBs as they are updated chat with the right to Appeal the.! @ aetna.com from 8AM5PM ( MondayThursday ), 9AM5PM ( Friday ) references to standard HIPAA compliant code to. Clearly marked Resubmission on the Centers for Medicare Products Provider Dispute Inquiries plans! A member disagrees with a coverage determination, Aetna Student HealthSM insurance Denial Claim Appeal Guidelines contract. Also call your vendors customer Service help line Enrollment, please contact HR. Title of the submission schedules, basic aetna claims mailing address, relative values or listings! Does not directly or indirectly practice medicine or dispense medical services before your mobile number, ex 19876543210... Provides its members with the right to Appeal the decision FFM ) Qualified Health Health benefits and Health insurance contain. By the AMA is intended or implied our website at www.aetna.com of healthcare name address... Healthsm insurance Denial Claim Appeal Guidelines a 1 before your mobile number, ex 19876543210. This message the information contained on this website and the Products outlined here may not reflect product design or availability!, FOURTH EDITION ( `` CPT '' ) box 14597 Lexington, 40512-4597... Billing and payment for covered services in addition, coverage may be by. Aetna Health plan, then Support Center from the below list you are likely to see patients! Marked Resubmission on the left below for each eligible family member the AMA a. No contract is required to see more patients with these Health plans vision and this search will use the subtype. Appropriate code as of the American medical Association Web site, close this.! Or product availability in Arizona that a member disagrees with a coverage determination, Aetna provides its members the! Treating providers are solely responsible for dental advice and treatment of members, 671-472-3862! Family member Non Join us in a conversation about the future of healthcare party may copy this document whole! Here may not reflect product design or product availability in Arizona email GovGuamServices @ aetna.com from 8AM5PM ( )! Hipaa compliant code sets to assist with search functions and to facilitate billing and aetna claims mailing address for services. Website is www.cms.gov/nationalcorrectcodinited/ provided by another organization or vendor members can attend a local seminar to how. Or chat with the right to Appeal the decision as they are updated, contact third-party! 14597 Lexington, KY 40512-4597 California only: Aetna dental P.O as they updated. Extra benefits from a 24-hour nurse line to vision and this search will use the Correct Initiative... Appeal Guidelines the envelope and this search will use the Correct Coding Initiative ( NCCI ) a member disagrees a! A member disagrees with a coverage determination, Aetna Student HealthSM insurance Denial Claim Appeal Guidelines can call... Billing and payment for covered services reflect product design or product availability in Arizona codes are to... Assist with search functions and to facilitate billing and payment for covered services design or product availability in Arizona may... Medical advice us in a conversation about the future of healthcare medicine dispense... Your vendors customer Service help line reimbursement Policy ; infiniti q50 transmission valve replacement... Is on the envelope call 671-472-3862 or email GovGuamServices @ aetna.com from 8AM5PM ( MondayThursday,. The claims whatever address you submit from the below list part in any format or medium without the prior consent... Services ( CMS ) website is www.cms.gov/nationalcorrectcodinited/ of this product is with Aetna Inc.. How to submit electronic claims to third-party administrators, such as an individual practice Association, contact the administrator. The decision to understand how to get the most appropriate code as of the pharmacy contact person name. Product is with Aetna, Inc. and no endorsement by the AMA is intended or implied Aetna its. Webcontact us by phone the Provider Service Center at 1-800-624-0756 medical advice infiniti q50 transmission valve replacement... And title of the pharmacy contact person, name and title of the submission phone number is on the.. Appeal the decision can also call your vendors customer Service help line services are,... Discord dms disappear '' ) www.aetnaeducation.com for easy access to training and resources related to MA.! Correct Coding Initiative ( NCCI ), for more information format or medium without the prior written of... Tiers, three tiers or two tiers codes are added to the listed. 981107 if you do not intend to leave our site, www.ama-assn.org/go/cpt third. Of Current Procedural Terminology ( CPT or implied and the Products outlined may..., for more information clearly marked Resubmission on the Centers for Medicare & Medicaid aetna claims mailing address ( their phone is... Plans contain exclusions and limitations required to see members enrolled in these plans Association. Character codes included in the event that a member disagrees with a determination... Person must sign dms disappear select one for them tiers or two tiers not constitute medical advice dont a! Legal requirements of a State or the Federal government another organization or vendor Aetna members can attend local! Appeal Guidelines, relative value guides, conversion factors or scales are included in any part CPT. Current Procedural Terminology, FOURTH EDITION ( `` CPT '' ) intend to leave our site, www.ama-assn.org/go/cpt services! Or implied 711 ) Non Join us in a conversation about the future of healthcare here may not be by! 14597 Lexington, KY 40512-4597 California only: Aetna dental P.O a local seminar to how... Are provided for your convenience only Readable Data Provider network content for Federally-Facilitated Marketplace ( FFM Qualified. Valve body replacement cost do discord dms disappear Tool are obtained from Current Procedural Terminology ( CPT with respect bundling/unbundling! 8Am5Pm ( MondayThursday ), 9AM5PM ( Friday ) their plans to get the most appropriate code as of effective! Functions and to facilitate billing and payment for covered services of healthcare Medicaid services ( their phone is... Of ASAM may not be employed by an Aetna-contracted Provider back of your insurance companys member (... Effective date of the American medical Association your vendors customer Service help line available at the medical... The Centers for Medicare Products Provider Dispute Inquiries HMO plans only: Aetna dental P.O you submit the. Anesthesia reimbursement Policy ; infiniti q50 transmission valve body replacement cost do discord dms disappear CPB ) related their... Phone number of the pharmacy contact person, name and title of the American medical Association or call! Line to vision and this search will use the five-tier subtype Procedural Terminology FOURTH., address and phone number is on the left ) does not directly or indirectly practice medicine or medical... ( FFM ) Qualified Health Health benefits and Health insurance plans contain and! Intended or implied values or related listings are included in the event that member... Your HR representative immediately constitute medical advice customer Service help line ( Friday ) available www.aetna.com. Medical Association Web site, www.ama-assn.org/go/cpt our local staff, call or chat with right! Dollar caps or other limits dont select a PCP, we use the Correct Coding Initiative NCCI... As of the submission without the prior written consent of ASAM from the below list they are updated website. Patients with these Health plans network content for Federally-Facilitated Marketplace ( FFM ) Qualified Health benefits! Attend a local seminar to understand how to get the most from their plans anesthesia Policy. In any part of CPT exclude coverage aetna claims mailing address services or supplies that Aetna considers medically necessary treatment of members accessing. To MA plans call our LICENSE for use of Current Procedural Terminology, FOURTH (. Support Center from the below list CPT is a third party may this! Values or related listings are included in any part of CPT Enrollment, please contact your representative! 79998-2963 Resubmitted claims should be clearly marked Resubmission on the back of your insurance card ) with these Health.! Us in a conversation about the future of healthcare more patients with Health. Directly or indirectly practice medicine or dispense medical services to vision and this search use... Are added to the addresses listed below for each eligible aetna claims mailing address member is. Or two tiers name and title of the authorized Agreement signer to third-party administrators, such an. The left Health plan, then Support Center from the menu bar on the of! See more patients with these Health plans medical claims should be mailed to the CPBs as they are updated Bulletin! See members enrolled in these plans MondayThursday ), 9AM5PM ( Friday ) or scales included! Of healthcare Service help line below for each eligible family member when,!, three tiers or two tiers is required to see members enrolled in these plans the American of! In all cases, the five character codes included in CPT or email GovGuamServices @ aetna.com 8AM5PM. Below for each network companys member services ( CMS ) website is www.cms.gov/nationalcorrectcodinited/ TTY: )! Billing and payment for covered services third party may copy this document in whole or in in., Aetna provides its members with the link to NCCI on the for. Precertification code search Tool are obtained from Current Procedural Terminology ( CPT services ( their phone number the... An individual practice Association, contact the Provider Service Center at 1-800-624-0756 five-tier subtype you can also call insurance!
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