Member services: claims and pre-authorization Telephone: +86-400-881-1291 Independent retail pharmacies California only: Aetna Dental P.O. All claims and specialist authorizations. × Contact us by phone. Circle all appealed claims per Remit/EOB page. Together, Banner and Aetna are taking a new approach to the way health care is offered. >. If you prefer to contact Member Services with this public form, please complete the information below. Aetna Better Health will process appeals and adjudicate the claim within thirty (30) days from the date of receipt. 800-238-6279. To speak to someone about your Allina Health | Aetna coverage, you can call the Member Services phone number on your member ID card. ASA and Meritain - use phone number on member’s ID card, BRCA genetic testing (precertification and information) -, Claims – if you have questions about claims, contact the Provider Service Center (see list below), 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.) Phone: 800 264.4000. This form will also update your information in the online provider directory. I practice independently and I want to contract with Aetna. Aetna HMO-Based plans and Medicare advantage plans: 800-624-0756: Aetna Indemnity and PPO Based plans: 888-632-3862: Voluntary Plans: 888-772-9682: ASA and Meritain: Use the phone number on the member ID Card: BRCA genetic testing (precertification and information) 877-794-8720: Credentialing: 800-353-1232: Aetna Dental providers: 800-451-7715: Disease management programs Independent retail pharmacies can fill out the form at the link below. You can also contact Medicare or the Social Security Administration. PreferredOne will administer the eligibility, claims processing and provide stop loss, customer service, account service, and employer reporting in a seamless solution. Aetna Medicare Plan (HMO) Aetna Medicare Prime Plan (HMO) Quality Point of Service (Except the ID starts with W) HMO (Except the ID starts with W) Aetna Medicare Plan Open … Huatai fronted members. Apply to join the workers’ compensation network in New York. Contact Us; Providers. To help us direct your question or comment to the correct area, please select a category below. Massachusetts license number: 10041444. Learn more >, Aetna.com works best with Safari 8 and above. Links to various non-Aetna sites are provided for your convenience only. Aetna Medicare P.O. 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: E-mail your pharmacy information to Aetna. You are now leaving the Aetna website Links to various non-Aetna sites are provided for your convenience only. Please allow 45 days for a network representative to process the change or make contact with you for additional information. Student health insurance plans are underwritten by Aetna Life Insurance Company (Aetna). Please enable it to continue. We're sorry but Vision Benefits Portal doesn't work properly without JavaScript enabled. Medical professionals or part of a medical group, Other networks (including our First Health, Medicare Part D, and Workers’ Compensation Networks), Submit a medical or behavioral health question or comment, Submit National Provider Identifier (NPI), Submit National Provider Identifier (NPI) exemption, Request clinical review criteria for New York State Residents. We'll need to terminate your existing agreement with us. Request a Drug Coverage decision by Mail: Aetna Medicare Part D Appeals & Grievances, Refer to the back side of the member ID card, Coventry (Including workers compensation and auto injury), Quality Point of Service (Except the ID starts with W), Quality Point of Service (Member ID starts with W), Aetna Provider Phone Number for the following listed plans - 888-772-9682, Aetna Limited Benefits Insurance Plan (PPO), Aetna Voluntary Group Medical Plan (indemnity Plan), 888-702-3862 (Benefit Questions or Claim Inquiries), 888-802-3862 (Benefit Questions or Claim Inquiries), Aetna Vision Discount Programs (California), Aetna Better health Provider Phone Number. Box 14094 Lexington, KY 40512-4094. Available for PC, iOS and Android. Aetna (Shanghai) Enterprise Services Co. Ltd Suite 702, 757 Meng Zi Road, Gopher Center, Huang Pu District Shanghai, China. You can also mail hard copy claims or resubmissions to: Aetna Better Health of California. Box 981106 El Paso, TX 79998-1106. All dental Medicare claims . 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. Answer YES if you get Aetna coverage through your job or your spouse’s job, or if you have an Aetna Medicare plan. If you missed Open Enrollment, please contact your HR representative immediately. Indemnity and PPO-based plans - 1-888-MD AETNA ( 1-888-632-3862) Voluntary plans - 1-888-772-9682. If necessary, use the following claims billing addresses If your practice management system requires you to enter a billing address, use the address listed below for the state in which you practice: 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. This is the phone number for the corporate contact center they do not have access to member accounts but they can provide aetna member services contact information. For all other Products’ Provider Dispute Inquiries (PPO and Commercial HMO plans): Contact the Provider Service Center at 1-888-MD-Aetna (632-3862). What is Medical Billing and Medical Billing process steps in USA? No. 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. Aetna and CVS Pharmacy® are part of the CVS Health family of companies. If ONE of the following criteria applies to you, please request a medical application form using the link below: Request a medical application - credentialing is required. Phoenix, AZ 85082-6125 Resubmitted claims should have “resubmission” marked clearly on the claim form to avoid being denied as a duplicate. We refer to these providers as being in our network some of our benefit plans pay for services from providers who are not in our network. If you missed Open Enrollment, please contact your HR representative immediately. Aetna Student Health Agency Inc. is a duly licensed broker for student accident and health insurance in the Commonwealth of Massachusetts. To request participation in Coventry Workers’ Compensation, Coventry Auto Injury, or First Health networks, follow the links below. If you are a member and have questions about a claim contact the number on the back of your ID card. Box 14597 Lexington, KY 40512-4597. Allina Health | Aetna has a dedicated customer team trained to answer your questions. Address: 800 Crescent Centre Drive, Suite 200 Franklin, TN 37067. Aetna health insurance claims phone number. Submit a copy of the Remit/EOB page on which the claim is paid or denied. You can also log in to your secure member portal to find a phone number that will direct you to a representative who knows your specific coverage. For additional information contact Medicare or the Social Security Administration. Medicare Helpline Website: Get general or claims-specific Medicare information, request documents in alternate formats and make changes to your Medicare coverage. HMO and Medicare Advantage - 1-800-624-0756. Click Become An Agent if you are interested in taking advantage of our sales opportunities HEALTH CARE PROFESSIONALS, PHYSICIANS, PROVIDERS Provider termination form and directory update. To contact our local staff, call 671-472-3862 or email GovGuamServices@aetna.com from 8AM—5PM (Monday—Thursday), 9AM—5PM (Friday). Provider Information Updates: If you are an existing myNEXUS Participating Provider and need to update any of your Provider Information (i.e. Member services: claims and pre-authorization Telephone: +86-400-881-1269 Fax: +86-216-326-8525 Email: AGBChinaServicesShanghai@aetna.com. 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 patient’s age, CO 7 Denial Code – The Procedure/revenue code is inconsistent with the patient’s 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 Worker’s 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, ICD 10 Code for Sepsis Severe Sepsis and Septic shock with examples, 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, 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, Amerihealth Caritas Directory – Healthcare, Health Insurance in United States of America, Place of Service Codes List – Medical Billing. 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