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Aetna Life Insurance Company, located at 151 Farmington Avenue, Hartford, CT 06156, 1-877-698-4825 (TTY: 711), is the Discount Plan Organization. Milwaukee, WI 53201 . Aetna member ID number on each receipt and bill. b) Visit the treatment providers on the list for out-patient treatment. Employee's Birthdate (MM/DD/YYYY) 6. You should send all faxes to 1-833-596-0339. Box 982965 El Paso, TX 79998-2965 * The Aetna Grievance and Appeals Unit also has one box for all states except California, which has a separate box. Employee's Name 5. Our address is: Aetna Better Health of Florida 8200 NW 41st Street, Suite 125 Doral, FL 33166. Once you complete the EFT form, you can submit it by: Emailing us. To reach us by phone, dial the toll-free number on the back of the patient's ID card. Oklahoma form numbers for discount programs: GR-96402-04 6-13 (Exception: Some members have plans with a dedicated service team.) Once you complete the EFT form, you can submit it by fax at 1-855-596-8401. I am a: Guest Member Provider Attachments cannot be sent using this secured form. Date each service was performed. Persons with speech or hearing impairments can contact us at 800.735.2966. Aetna Federal Plans Questions? Watch Aetna Comments. 2. P.O. Call our hotline at 1-800-338-6361 (TTY: 711) or email us at [email protected]. Visit Contact Member Services. . Mail paper claims to: Aetna Better Health of Florida P.O. Phone: 1-888-772-9682. Use this comments section to discuss problems you have had with Aetna, or how they have handled your . Active Retired Date of Retirement 7. Call 800.821.6136 for help with your medical plan, or call 877.434.2336 for help with your dental plan. Box 14094 Lexington, KY 40512-4094 All dental Medicare claims Aetna Maternity Program 855-282-6344. BE SURE TO KEEP COPIES OF CLAIMS SUBMITTED FOR YOUR FILES MAIL CLAIMS TO: AETNA P.O. Dual Eligible Special Needs Plan (D-SNP) 1-866-409-1221 ${tty}. To speak to someone about your Allina Health | Aetna coverage, you can call the Member Services phone number on your member ID card. Call 1-877-459-6604 Health Plans Retiree Center Resources Member tools Enroll now Member Login/Register Connect Live Dental PPO Plan - FAQs Select a question below for more info Dental PPO Plan Click on a question. Patient ID or subscriber's 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 Patient ID or subscriber's Social Security number Subscriber first and last name aetnavitalsavings.com . Follow Aetna. Fast, accurate and secure transactions. If you need to fax us, our toll-free fax number is (959) 888-4124. Electronic Submissions: Through SKYGEN's Provider Portal: https: . . Federal Employees Health Benefits Plans - Aetna - Contact Us. This is sometimes referred to by its HIPAA transaction number, 835. c) Show your membership card. EFT form (PDF) You'll want to allow up to 15 days for us to process your EFT form. Contact us by phone The Provider Service Center helps with benefits, claims and many other questions. Phone * ZIP Code * address and complete phone number of dentist. Can I submit an Aetna claim online? After you submit your completed claim form, you will receive a notification by e-mail to confirm that it has been submitted successfully. Allina Health | Aetna has a dedicated customer team trained to answer your questions. Dental plans and vision benefits are insured by Aetna Life Insurance Company (Aetna) 151 Farmington Avenue Hartford, CT 06156. or email us at MA SG Plan Sponsor Inquiries Fax: 866-847-4039: back to top. Get an answer. 3. d) The treatment provider will then deal with your claim administration. Access information quickly For 24-hour access to your patient's health information, log in to your account. Aetna Inc. and its subsidiary companies assume no . Mail: Pennsylvania Department of Health. dental service, eyewear, hearing aid, vaccine or fitness reimbursement you paid a doctor, healthcare . Call Headquarters on 1-800-US-AETNA (1-800-872-3862) Tweet Aetna Customer Care. Aetna Claim Address And Aetna Provider Phone Number: Aetna Medicare Providers Claim Address and Phone Number Aetna HMO and PPO Plans Phone number Statewise Aetna Plan Phone number and Claim Address Aetna claim address and Aetna phone numbers are very important to handling denials, AR follow-up and claim submission. How to make a claim for treatment under a direct billing facility. BOX 14586 LEXINGTON, KY 40512-4586 Payer - Aetna Attachment Fax Number - 859-455-8650 Attachment Mailing Address - PO Box 981106 El Paso, TX 79998-1106 The benefits of an ERA. . It is important to keep your information current as it could impact the timely sharing of communications and claim payments. Employer's Name 2. Members. Medicare medical and dental plans - 1-800-624-0756 (TTY: 711) Non-Medicare plans, including individual and family plans - 1-888-MD AETNA (1-888-632-3862) (TTY: 711) Dental for non-Medicare plans - 1-800-451-7715 (TTY: 711) Paper Claims: Aetna Better Health of Kansas - Claims. Please make sure each invoice has the following: Member name and ID number (from the member's Aetna International identification card) Name of the member's employer. An appeal is a formal way of asking us to review and change a coverage decision we made. Instead, download the form (English | Espaol) or call the Member Services number on your member ID card for a prescription drug claim form. Call Customer Care on 1-800-307-4830. GR-68559-1 (10-14) Cover sheet for Aetna member FAX submission . MHBP Consumer Option Hotline 800-694-9901. . You can get an EFT form here or on our Provider Portal. . Certain vision claims administration services are provided by First American Administrators, Inc. and certain network administration services are provided through EyeMed Vision Care ("EyeMed"), LLC. 3. Once processing is complete, we'll send you a confirmation letter. PO Box 14094. Fax number; If you're submitting online, you'll need: . Aetna ID number (as shown on your Aetna ID card) Date of birth . London, KY 40742 Pennsylvania Institutional Special Needs Plan (PA I-SNP) Overseas Phone Number 480-445-5106. Visit Customer Care Contact Form. Click "submit claim" to complete the process. All other Plans (California) 888-632-3862. Lexington, KY 40512-4094. Some of the benefits of setting up an EFT include: Improved payment consistency. If you are already an Aetna Dental Insurance Member and have a question regarding your existing policy or claim, please visit Aetna.com or call 1-800-872-3862. . Aetna Dental works with ClaimConnect TM offered by EDI Health Group (EHG) to provide easy access to check patient eligibility, file a claim, check claim status, view patient rosters and Electronic Remittance Advice. Employee's Aetna ID Number 4. Phone: 888-287-4206 or email us at . Mail this completed form and your original rece ipts and itemized bills to the medical claims address on your Aetna member ID card. HMO Based Plans (California) 800-624-0756. Optional Services that you may have purchased through Aetna: Life Insurance 1-800-523-5065: Dental . Box 359. Vision. Fast, accurate and secure transactions. phone number, office hours, email, and more. Dental QPLs are available to meet with PA dental practices to discuss the program in detail. You can also reach us Monday through Friday from 7 a.m. 7 p.m. Central time. Read the guidelines to discover which data you must give. Phone number (with area code): - - . For 24-hour automated phone benefits and claims information, call us at 1.800.566.9311. Policy/Group Number 3. Availity . Existing participating medical providers in Aetna's network, find forms, update your information, and more using our Provider Onboarding Center. Aetna Dental works with ClaimConnect TM offered by EDI Health Group (EHG) to provide easy access to check patient eligibility, file a claim, check claim status, view patient rosters and Electronic Remittance Advice. Filing instructions: Please submit the form within 365 days of receiving the service or item. Please complete this cover sheet and FAX with your documentation to be processed. Amount charged for each procedure, including . Also, SKYGEN's provider portal supports secondary and tertiary dental claims. Faxing us at 1-844-705-2352. Resources. In some cases, we may allow exceptions for a service or drug that is normally not covered. If you'd like more information about BannerlAetna or have a question, just call our toll-free number at 1-800-381-6789. Allow 10-15 business days for processing. Address: Member Services and DSNP Customer Service. a) Check that your treatment is covered under the plan if you are unsure, contact us. . . claim for medical, dental, vision, or pharmaceutical services. PO Box 7083. To reach an Informed Health Line Nurse, please call 1-800-556-1555 (TTY: 711). Complete Aetna Dental Fillable Claim Form online with US Legal Forms. If your request is incomplete, we will communicate with you on your monthly Explanation of Benefits statement. Patient name. Complete description for each procedure. "With a direct member reimbursement allowance, you're given a set amount of money to spend each year on dental care." You can see any licensed dental provider in the U.S. contact the Quality Management Department at [email protected]. M M D D Y Y Y Y Male . Gender . Suspect fraudulent activity? About the Plan Benefits of this change There are three immediate benefits of using this new fax number. 7 days a week, 8 AM to 8 PM. Aetna Provider Phone Number List (California) Aetna Medicare Advantage Plans and. Stick to these simple instructions to get Aetna Dental Claim Form - Iu ready for sending: Choose the document you want in our collection of legal templates. As an Aetna Medicare member, you have the right to: Ask for coverage of a medical service or prescription drug. Aetna HMO Plans (California) 888-702-3862 (Benefit Questions or Claim Inquiries) Log in at www.aetnainternational.com and click 'Claims Center' Fax it Outside the US: +1 800 475 8751 (via AT&T + access code) . While only your doctor can diagnose, prescribe or give medical advice, the Care Management nurses can provide information on a variety of health topics. Dental Benefits RequestMail to: Aetna Dental PO Box 14094 Lexington, KY 40512-4094 TO BE COMPLETED BY EMPLOYEE - USE BLACK INK ONLY 1. Date of service for each procedure. All materials submitted will be retained by us and cannot be returned to you. Bureau of Health Promotion and Risk Reduction. TO BE COMPLETED BY . Click "Claims Center," then "Submit claims". If you have questions about claims or benefits, we're happy to help. You'll pay for your dental care up front when you see a dentist, and then submit your receipts to Aetna for reimbursement. Fax to: 1-859-455-8650. This is now an automated process. When you have all the information necessary, mail your claim to the Aetna office shown on the top of this form. For your convenience, we have a single post office box for claims and specialty authorization submissions. Complete name and address of the provider. Phone: (866) 272-6630 Fax: (855) 482-7876 Email**: [email protected] (insert name of underwriting company) P.O. Select the fillable fields and add the necessary information. Mail this completed form and your original receipts and itemized bills to the medical claims address on your Aetna Medicare member ID card. Fax: 717-214-6690. 24 hours a day/7 days a week. Member Services - PPO, Dental, Life,Indemnity, AD&D: ID cards, Claims & Eligibility Questions,Precertification/Claim Assistance . Phone 847-615-1500 Mail Trustmark 400 N. Field Drive Lake Forest, IL 60045 Contact Form Media Bob Gosman Communications Email Contact Via Email If you choose to communicate with us by email, you should be aware that the security of incoming Internet email is not secure. Copy, scan and upload your supporting documents, including itemized bills, original receipts. Box 14770 Lexington, KY 40512-4770 Claims Hours: M-F 7:00 AM-5:00 PM CT Make check payable to the appropriate c/o Bank of America underwriting company Reference policyholder name and policy number on all checks and corre . It attaches incoming clinical information to pending precertification and concurrent review files. Easily fill out PDF blank, edit, and sign them. Open the document in the online editing tool. Aetna complaints contacts. Complete your claim online. Links to ClaimConnect and its content are provided for your convenience. All claims and specialist authorizations Aetna Dental P.O. File an appeal if your request is denied. MHBP Dental and Vision Plan Information 800-254-0227 (Monday through Friday, 8 a.m. to 6 p.m. Eastern time) 24/7 Nurse Advice Line 1-800-556-1555. All materials submitted will be retained by us and can not be to! A question, just call our hotline at 1-800-338-6361 ( TTY: 711 ) email. A.M. 7 p.m. Central time Medicare Advantage Plans and have a question, just call our toll-free number! ) 888-4124 our Provider Portal: https: hotline at 1-800-338-6361 ( TTY: 711 ) or email us 1.800.566.9311! 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