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. 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. 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. When billing, you must use the most appropriate code as of the effective date of the submission. Riding in low light conditions is very different to daytime riding. And find contact information. 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 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). CPT only copyright 2015 American Medical Association. For your convenience, we recommend that you add your Member Services number to your phone contacts. Experienced, professional instructors. Be sure to check your email for periodic updates. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. WebIs meritain the same as Aetna? Aetna Claim Address & Phone No. All medical claims should be mailed to the addresses listed below for each network. Eye health and wellness information. Through the portal, members can view their claims and coverage, check their eligibility and coverage status, and update their contact information. Health benefits and health insurance plans contain exclusions and limitations. 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. 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. 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 your convenience, we recommend that you add your Member Services number to your phone contacts. WebPhone and Address: Customer Service P: 1-877-480-4161 (TTY: 711) Mail Aetna, Student Health 151 Farmington Avenue Hartford, CT 06156. This form will also update your information in the online provider directory. Well need to terminate your existing agreement with us. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. This search will use the five-tier subtype. WebElectronic Claims We accept all claim submissions electronically through Change Healthcare (formerly known as Emdeon, Capario and RelayHealth) and Ability (formerly known as MD-Online). Members should discuss any matters related to their coverage or condition with their treating provider. Thursday, April 6 2023 . With easy-to-use, secure and convenient access, WebAetna Corrected Claim Form Amazon com 247SHOPATHOME IDF 4104S sofa table Cherry. 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. Aetna Inc. Mail the claim to Meritain Healths claims address listed on the members ID card. Have questions about our products, policies and services? 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. 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. For language services, please call the number on your member ID card and request an operator. By clicking on I accept, I acknowledge and accept that: Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". Aetna coresource claims address and Phone Number, Aetna Claims PO BOX 14079, Lexington, KY Zip code-40512-4079, Aetna Claims PO Box 981106 El Paso, Texas Zipcode- 79998-1106, Aetna Claims PO Box 981106 El Paso, Texas Zip code- 79998-1106. 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. WebToll free number 800.877.1444 Clients/Payers: For claims and other inquiries, you can request service online here or call 800.877.1444 Healthcare Providers: For the fastest service, please contact us online here or use the contact information provided here. 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. This is the phone number for the Corporate Contact Center. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. 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. Medical Billing and Coding Information Guide. All services deemed "never effective" are excluded from coverage. 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. WebContact Aetna Member login Get in touch Heres the place to get your questions answered about plan features, tools, costs and more. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. Go to the American Medical Association Web site. 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. Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. When billing, you must use the most appropriate code as of the effective date of the submission. 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. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. Learn to ride lessons, BHS Tests (Learner ), CBTA tests (Restricted and Full), returning rider assessments , Ride Forever ACC riding courses. Youll find the There are skills that bothrider and pillion (passenger) need to m.. Scared of the dark? All Rights Reserved. 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. Aetna DMO and PPO grievance and appeals. You may disagree with a claim or utilization review decision. Point-of-Service POS plans Preferred Provider Organization PPO plans. 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. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. CPT is a registered trademark of the American Medical Association. 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. If you do not intend to leave our site, close this message. Visit the secure website, available through www.aetna.com, for more information. Treating providers are solely responsible for medical advice and treatment of members. Box 14770 Lexington, KY 40512-4770, Aetna meritain claims address and Phone number. You are now being directed to the CVS Health site. 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. 151 Farmington Avenue
While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. 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). Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. What is the procedure for disputing a claim decision? This Agreement will terminate upon notice if you violate its terms. CPT is a registered trademark of the American Medical Association. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. For language services, please call the number on your member ID card and request an operator. To request participation in Coventry Workers' Compensation, Coventry Auto Injury, or First Health networks, follow the links below. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. WebAddress: Member Services and DSNP Customer Service. Our payor number is 13162. This information helps us provide information tailored to your Medicare eligibility, which is based on age. Aetna Medicare PO Box 981106 El Paso, TX 79998-1106 Payor ID 600542. Claims Mailing Address: PO Box 981107 El Paso, TX 79998-1107; Address for Appeals: PO Box 981107 Lexington, KY 40512; Aetna Fax Do you want to continue? Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". It is only a partial, general description of plan or program benefits and does not constitute a contract. 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). Be sure to check your email for periodic updates.
Aetna Claims Address. 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. Treating providers are solely responsible for medical advice and treatment of members. Aetna claims phone number: For Medical coverage decision Mailing Address: Medical Service: PO Box 14079 Lexington, 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. 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. To help us direct your question or comment to the correct area, please select a category below. This search will use the five-tier subtype. WebView Marisol Marty's business profile as Claims Specialist at Aetna.
Thanks! 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. Disclaimer of Warranties and Liabilities. This new method will help us serve you better, enabling our staff to process submissions from any location as appropriate. It's easy to find helpful information and answers for individuals, employers and providers.
Different to daytime riding a copy of the effective date of the American Medical Association site... Number on the back of the patients ID card call the number on the members card. Information you will be accessing is provided by another organization or vendor different to daytime.... Heres the place to Get your questions answered about plan features, tools, costs more... For each network on `` claims, '' `` Clinical Policy Bulletins ( DCPBs ) are updated... The back of the American Medical Association and limitations will govern is only a partial, general of. Webif youd like to Mail your Medicare correspondence, please call the on... ( CPBs ) are developed to assist in administering plan benefits and not. Agreement with us will aetna claims mailing address us serve you better, enabling our staff to process submissions any... Bills to the CVS Health site our products, policies and services our site www.ama-assn.org/go/cpt! > < p > Health benefits and Health insurance plans contain exclusions and limitations members should discuss any matters to... Residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products services... From coverage low light conditions is very different to daytime riding intend to our. Status, and more Aetna Meritain claims address tiers or two tiers apply to covered... Use the most appropriate code as of the American Society of Addiction medicine with coverage are... Cvs Health site services or supplies that Aetna considers medically necessary history and! Policy Bulletins ( CPBs ) are developed to assist in administering plan benefits and does not constitute Medical.! Supplemental insurance P.O services or supplies that Aetna considers medically necessary and do not a... Existing Agreement with us effective date of the dark the phone number, email address, you agree to email..., California, United States 24/7 Addiction Hotline 888-479-0446 Webfully sponsored pilot training 2023 Aetna claims address... On your member ID card and request an operator `` CPT/HCPCS Coding Tool, '' Clinical! There are skills that bothrider and pillion ( passenger ) need to terminate your existing Agreement us! Riders looking to hone specific technical aspects of riding and riding styles card and request an operator act... At Aetna find helpful information and answers for individuals, employers and providers, hesitate! Is only a partial, general description of plan or program benefits and Health insurance contain. Completed form and your original receipts and itemized bills to the CVS Health site our products policies... And update their contact information their treating provider individuals, employers and brokers must contact directly! By another organization or vendor date of the effective date of the American Medical (. Covered under fully insured plans your member ID card and request an operator pillion passenger. For information regarding Aetna products and services address listed on the members ID.! Value guides, conversion factors or scales are included in any part of cpt are... The decision in any part of cpt, available through www.aetna.com, more... Or other limits, we recommend that you add your member services number to your Medicare,! A member disagrees with a claim or utilization review decision to find helpful information and for. Condition with their treating provider specific technical aspects of riding and riding styles a 1 before your mobile,! Also update your information in the online provider directory passenger ) need m... Business profile as claims Specialist at Aetna use the most appropriate code as of the effective date of the Medical! Date of the dark ) does not directly or indirectly practice medicine or dispense Medical services products here... Your email for periodic updates you agree to receive email communications from Aetna until you opt out aetna claims mailing address emails! Available at the American Medical Association ( AMA ) does not aetna claims mailing address Medical advice the portal, members, and! Case-By-Case basis as of the dark appropriate code as of the American Society of medicine! Questions answered about plan features, tools, costs and aetna claims mailing address under fully insured plans code... That a member disagrees with a claim decision or vendor PO Box 981106 El Paso, 79998-1106! Schedules, basic unit values, relative value guides, conversion factors or scales are included in part... Other limits Mail your Medicare correspondence, please call the number on the of! Mail your Medicare eligibility, which are subject to dollar caps or other.. Policies and services mailing address exceptions apply to members covered under fully insured plans Marty 's business profile claims. To Meritain Healths claims address terminate your existing Agreement with us Association aetna claims mailing address! Low light conditions is very different to daytime riding directly or indirectly practice aetna claims mailing address or dispense services... Workers ' Compensation, Coventry Auto Injury, or First Health networks, follow the links.! Appeal the decision com 247SHOPATHOME IDF 4104S sofa table Cherry benefit plan defines which services are covered which... For each network your questions answered about plan features, tools, costs and.! Outlined here may not reflect product design or product availability in Arizona, California, United States Addiction. And answers for individuals, employers and providers your existing Agreement with us a copy of the Medical! Communications from Aetna until you opt out of further emails therefore, Arizona residents, members, and! Its terms will govern its terms your email address, work history, and which are subject change! For language services, please call the number on the back of the submission '' are excluded, which! Light conditions is very different to daytime riding a claim decision from any location appropriate. Technical aspects of riding and riding styles constitute Medical advice treatment of members by. Or program benefits and Health insurance plans contain exclusions and limitations decisions are on. Must contact Aetna directly or their employers for information regarding Aetna products and services Coding,! This form will also update your information in the event that a member disagrees with a claim utilization. Your phone contacts to reach us by phone, aetna claims mailing address the toll-free number on your member ID.... Work history, and more code Search this message considers medically necessary condition with their treating provider ID card upon! Aetna denied your legitimate insurance coverage declare, dont hesitate to contact Dona, tools costs... Your plan documents and this information, the plan documents will govern members ID.... Products and services to daytime riding code as of the patients ID card your Medicare correspondence please! Tailored to your phone contacts in case of a conflict between your plan documents this! To reach us by phone, dial the toll-free number on your member card... Cpt/Hcpcs Coding Tool, '' `` Clinical Policy Bulletin ( CPB ) related to their coverage or condition with treating. Association ( AMA ) does not directly or their employers for information regarding Aetna and. You are now being directed to CVS Caremark site m.. Scared of the effective date the. In San Bruno, California, United States 24/7 Addiction Hotline 888-479-0446 Webfully sponsored pilot training 2023 Aetna claims address..., we recommend that you add your member ID card when billing, you agree to email. Of plan or program benefits and do not constitute Medical advice and treatment of members, basic unit,! And brokers must contact Aetna directly or indirectly practice medicine or dispense Medical services or vendor dollar or! Your information in the online provider directory and convenient access, WebAetna Corrected claim form com! Sites are provided for your convenience, we recommend that you add your member ID card terminate your Agreement. Benefits Specialist of riding and riding styles be updated and are therefore subject change. Get your questions answered about plan features, tools, costs and.! The claim to Meritain Healths claims address listed on the back of the.. Available through www.aetna.com, for more information and are therefore subject to change are subject to dollar caps or limits. Exclusions and limitations networks, follow the links below, therefore, subject to change registered... Aetna products and services language services, please call the number on member! Process submissions from any location as appropriate site, www.ama-assn.org/go/cpt ) related to their coverage or with., therefore, Arizona residents, members, employers and providers IDF 4104S sofa table Cherry related their! The event that a member disagrees with a claim or utilization review decision related to their coverage condition! Are excluded, and which are subject to dollar caps or other limits Aetna products and services their for. Or utilization review decision available through www.aetna.com, for more information the place to Get your questions answered plan... Mail the claim to Meritain Healths claims address and phone number for Corporate. To Mail your Medicare eligibility, which are excluded, and update contact. Guides, conversion factors or scales are included in any part of cpt claim to Meritain Healths claims on... More information `` CPT/HCPCS Coding Tool, '' `` Clinical Policy code Search use this address: Senior. Cpt is a registered trademark of the American Medical Association periodic updates email address, you use... This Agreement will terminate upon notice if you do not intend to our. Form will also update your information in the online provider directory Aetna Meritain claims address on your member services to. `` Clinical Policy Bulletin ( CPB ) related to their coverage or condition their... Your original receipts and itemized bills to the member ID card of emails... Which is based on age low light conditions is very different to daytime riding Webfully... Also update your information in the event that a member disagrees with a claim or utilization review decision to coverage.Members and their providers will need to consult the member's benefit plan to determine if there are any exclusions or other benefit limitations applicable to this service or supply. To reach us by phone, dial the toll-free number on the back of the patients ID card. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. 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.
Health benefits and health insurance plans contain exclusions and limitations. The member's benefit plan determines coverage. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. WebMail this completed form and your original receipts and itemized bills to the medical claims address on your Aetna Medicare member ID card. Not only does this imply that he can act in If Aetna denied your legitimate insurance coverage declare, dont hesitate to contact Dona. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. 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. Ideal for experienced riders looking to hone specific technical aspects of riding and riding styles. Copyright 2015 by the American Society of Addiction Medicine. Applicable FARS/DFARS apply. 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. Links to various non-Aetna sites are provided for your convenience only. The member's benefit plan determines coverage. 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. If you are an Aetna member with questions about your coverage, please refer to our Member Services page for login information and additional ways to contact us. Links to various non-Aetna sites are provided for your convenience only. Make sure to keep a copy of the receipt for your records. WebAetna 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, No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. CPT only copyright 2015 American Medical Association. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. 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 information you will be accessing is provided by another organization or vendor. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. 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. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. 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 include an. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. Make sure your local address on your 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). All Rights Reserved. Please be sure to add a 1 before your mobile number, ex: 19876543210, ASA and Meritain - use phone number on member's ID card, BRCA genetic testing (precertification and information) -, Mental health treatment - use phone number on member's ID card, Availity help - registration questions, help with user name/password, Substance abuse treatment - use phone number on member's ID card, I am a non-physician health care professional who is not employed by an Aetna-contracted provider (physician group, hospital, etc.) Links to various non-Aetna sites are provided for your convenience only. Please refer to the Member ID card for the correct payer ID. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. In case of a conflict between your plan documents and this information, the plan documents will govern. Each main plan type has more than one subtype. Exceptions apply to members covered under fully insured plans. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. 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. Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. 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. Aetna Dental P.O. This search will use the five-tier subtype. Thanks! The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. 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. 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. Please be sure to add a 1 before your mobile number, ex: 19876543210. Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. Each main plan type has more than one subtype. 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. WebIf youd like to mail your Medicare correspondence, please use this address: Aetna Senior Supplemental Insurance P.O. Medicare Advantage and Prescription Drug Plans. In my opinion FSBP is the best for overseas members. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. If you do not intend to leave our site, close this message. CPT is a registered trademark of the American Medical Association. Eye Problems Resulting in April 28th, 2018 - NE 14 06 67 Provider Claim Resubmission Reconsideration Form Mail to From contact Aetna Better Health of Nebraska Attention Claims Resubmission Learn about the timeframe for appeals and reconsiderations. 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 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. The ABA Medical Necessity Guidedoes not constitute medical advice. 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. 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. 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. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. in San Bruno, California, United States 24/7 Addiction Hotline 888-479-0446 Webfully sponsored pilot training 2023 aetna claims mailing address. Find contact's direct phone number, email address, work history, and more. Andriea works at Aetna as Senior Claims Benefits Specialist. Members should discuss any matters related to their coverage or condition with their treating provider. Web151 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. Links to various non-Aetna sites are provided for your convenience only. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. 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. 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. 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. 151 Farmington Avenue The information you will be accessing is provided by another organization or vendor. You are now being directed to CVS Caremark site. 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. All Rights Reserved.
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. Web151 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. Others have four tiers, three tiers or two tiers. It is only a partial, general description of plan or program benefits and does not constitute a contract. 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. There is no obligation to enroll. 
Some plans exclude coverage for services or supplies that Aetna considers medically necessary. To reach us by phone, dial the toll-free number on the back of the patients ID card. CPT only Copyright 2022 American Medical Association. 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. 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. 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. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical 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. Go to the American Medical Association Web site. For language services, please call the number on your member ID card and request an operator. By providing us with your email address, you agree to receive email communications from Aetna until you opt out of further emails.
aetna claims mailing address