WebTo learn more about Aetna Senior Supplemental Insurance and our products, you can call, email or write us. For all other Products Provider Dispute Inquiries (PPO and Commercial HMO plans): Contact the Provider Service Center at 1-888-MD-Aetna (632-3862). Unlisted, unspecified and nonspecific codes should be avoided. Call our Reprinted with permission. Links to various non-Aetna sites are provided for your convenience only. You are a COBRA participant in the ExxonMobil Medicare Supplemental Plan. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Treating providers are solely responsible for medical advice and treatment of members. But for those enrolling in an HMO plan, this is especially important. Your benefits plan determines coverage. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. CO, CT, DC, DE, IA, IL, IN, KS, KY, MA, MD, ME, MI, MN, MO, MT, NE, ND, NH, NJ, NY, OH, OK, PA, RI, SD, TX, VA, VT, WI, WV, WY, Address CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to the implied warranties of merchantability and fitness for a particular purpose. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. 40512-4079, State Box 14770 Lexington, KY 40512 1-800-264-4000 Hours: You can visit www.aetnaeducation.com for easy access to training and resources related to MA plans. AL, AK, AR, AZ, CA, FL, GA, HI, ID, Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. Reprinted with permission. 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. Email: AetSSIinformation@aetna.com. We want to make it easier for you to live healthier. Simplified billing submit one bill to Aetna and receive one remittance. Your benefits plan determines coverage. Hartford, CT 06156 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. For language services, please call the number on your member ID card and request an operator. Aetna Review reports promptly to identify any items that require attention. El Paso, TX Or, call your vendors customer service help line. If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. 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. Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. LEXINGTON KY 40512-4100 800-424-4047, PO BOX 14586 COLUMBIA SC 29224-3759 800-391-5367, PO BOX 981107 79998-1106, Aetna Student HealthSM 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. The AMA is a third party beneficiary to this Agreement. Aetna Member Services Aetna Address for Member Services; Corporate Headquarters: 151 Farmington Avenue Hartford, CT 06156: Aetna addresses for of service 7/1/2020 and after, Aetna will revert to the standard contractual requirements. Timely Filing Requirements of Claims New claims must be submitted within 180 calendar days from the date of service. Claims will deny if not received within the required time frames. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. 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. If youre moving or changing jobs, you can sign a new agreement for your new practice or location. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Designed by Elegant Themes | Powered by WordPress. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. Members should discuss any matters related to their coverage or condition with their treating provider. El Paso, TX 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. Aetna makes no representations and accepts no liability with respect to the content of any external information cited or relied upon in the Clinical Policy Bulletins (CPBs). Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. MIAMI FL 33256 800-452-8633, P O BOX 14079 Applicable FARS/DFARS apply. No fee schedules, basic unit, relative values or related listings are included in CPT. If you do not intend to leave our site, close this message. 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. 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. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. Copyright 2015 by the American Society of Addiction Medicine. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. We have been serving the construction and building industry since 1961. Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. New and revised codes are added to the CPBs as they are updated. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. Special notice for providers not accepting new patients: What to do if youre contacted by a member or potential member If youre not accepting new patients, but are contacted by a member or a potential member who wants to become a new patient, you must tell them to contact: ** The California Department of Managed Health Care at 1-888-466-2219, or the California Department of. License to sue CPT for any use not authorized herein must be obtained through the American Medical Association, CPT Intellectual Property Services, 515 N. State Street, Chicago, Illinois 60610. CPT is a registered trademark of the American Medical Association. For out-of-network Federal No Surprises Act. 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. ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. 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). Treating providers are solely responsible for medical advice and treatment of members. If payment is to be made DIRECTLY to the service provider (such as a doctor or hospital), also sign this block. New and revised codes are added to the CPBs as they are updated. Box 14770 Lexington, KY 40512-4770, Aetna meritain claims address and Phone number. Since Dental Clinical Policy Bulletins (DCPBs) 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. The member's benefit plan determines coverage. Others have four tiers, three tiers or two tiers. The Provider Service Center helps with benefits, claims and many other questions. 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. 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. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. 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. ND, NH, NJ, NY, OH, OK, PA, RI, SD, If you are a nonparticipating provider in our Medicare PPO plan. Be sure to have your student ID number. Aetna claims phone number: For Medical coverage decision Mailing Address: Medical Service: PO Box 14079 Lexington, KY 40512-4079 For Medical Appeal Mailing Address: Aetna Medicare Part C Appeal and Your benefits plan determines coverage. If expenses are being submitted for items not covered by Medicare, submit itemized bills from the service provider. Tampa Florida 33630 Note: If you are a hospital based provider seeking to join an already contracted group, you do not need to complete the application independently. 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. Before implement anything please do your own research. You are now being directed to CVS Caremark site. Dont have an account? USA. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. Aetna countered that statistic with its own, which says that 98% of Blue Cross NCs 2021 claims came from providers in Aetnas network. Visit the secure website, available through www.aetna.com, for more information. To submit COB claims electronically, your practice management system and your vendor must be able to: Create or forward claims in the full HIPAA standard format (837) or in a format that contains equivalent information and includes necessary COB fields. Please note also that Dental Clinical Policy Bulletins (DCPBs) 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. 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. Paper claims submission This section relates to information about the covered person. 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. No referrals are required to see members enrolled in these plans. 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. B. WebForms and Resources. Since Dental Clinical Policy Bulletins (DCPBs) 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. PO Box 15708 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. 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 a registered trademark of the American Medical Association. 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. 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. BE SURE TO KEEP COPIES OF CLAIMS SUBMITTED FOR YOUR FILES, MAIL CLAIMS TO: If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. 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. Provide the name, Member ID number or Social Security number, address and phone number of the covered person. If necessary, use the following claims billing addresses. Provider termination form and directory update. The ABA Medical Necessity Guidedoes not constitute medical advice. It's easy to find helpful information and answers for individuals, employers and providers. Medical Billing and Coding Information Guide. Serious Reportable Events Policy. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. More online tools and resources available at www.aetna.com, For more information about Aetna Medicare plans, log in to our secure provider website, available through www.aetna.com. All Rights Reserved. Aetna Inc. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. You are now being directed to the CVS Health site. 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. This helps ensure the right PCP is assigned to the members file. 1-866-604-7092, Aetna Medicare Prescription Drug Plan In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. Any use of CPT outside of Aetna Precertification Code Search Tool should refer to the most Current Procedural Terminology which contains the complete and most current listing of CPT codes and descriptive terms. Boston, MA 02215-0014 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. 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. Visit the secure website, available through www.aetna.com, for more information. If you do not intend to leave our site, close this message. Please help ensure your clients dont miss this critical step! P.O. 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 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. PO Box 981106 LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). PO Box 14579 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/ The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. We are expecting an increase in membership for our Medicare Advantage (MA) preferred provider organizations (PPOs). It is only a partial, general description of plan or program benefits and does not constitute a contract. Medical benefit claim submission WebMiddle East AAA RI claims: ri.claims@alainahlia.aetna.com Singapore: IGSGclaims@aetna.com Thailand: Thailandclaims@nzihealthcare.com UK: While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. Independent retail pharmacies can fill out the form at the link below. If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. Please fill in all fields. 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 have any questions, please contact our Provider Service Center at the following: WebAetna Better Health of Michigan PO Box 982963 El Paso, TX 79998-2963 Resubmitted claims should be clearly marked Resubmission on the envelope. WebContact Us Close Menu Contact Us Questions? PO Box 981106 License to sue CPT for any use not authorized herein must be obtained through the American Medical Association, CPT Intellectual Property Services, 515 N. State Street, Chicago, Illinois 60610. Treating providers are solely responsible for dental advice and treatment of members. The information you will be accessing is provided by another organization or vendor. It is only a partial, general description of plan or program benefits and does not constitute a contract. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. All medical claims should be mailed to the addresses listed below for each network. 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. Please be sure to add a 1 before your mobile number, ex: 19876543210. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. In case of a conflict between your plan documents and this information, the plan documents will govern. 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 CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. Avoid the additional cost of submitting duplicate claims by using the Claim Status Inquiry to check the status of claims prior to resubmitting. This Agreement will terminate upon notice if you violate its terms. Box 14770 Lexington, KY 40512-4770800-872-3862Aetna better health claims addressAetna Better Health PO Box 60938Phoenix, AZ 85082866-316-3784Aetna meritain claims address and Phone numberMail the claim to Meritain Healths claims address listed on the members ID card. 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. Do you want to continue? Please be sure to add a 1 before your mobile number, ex: 19876543210. Aetna makes no representations and accepts no liability with respect to the content of any external information cited or relied upon in the Clinical Policy Bulletins (CPBs). Enter the member ID number exactly as it appears on the ID card. 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. Multiple bills for each family member can be submitted with one claim form. They do not have access to member accounts but they can provide Aetna Member Services contact information. All dental claims should be mailed to GEHA at the appropriate address below: Direct Care Broker or Supplier Contracts EDI Submitter: 44054 P.O. 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). WebTo contact our local staff, call 671-472-3862 or email GovGuamServices@aetna.com from 8AM5PM (MondayThursday), 9AM5PM (Friday). Once logged in, under Plan Central,. Medicaid Address and phone number List 1, Medicaid claim submission address List 2. 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. Medical Necessity Guidedoes not constitute Dental advice deny if not received within the time. Number, ex: 19876543210 various non-Aetna sites are provided for your new practice or location standard HIPAA compliant sets., www.ama-assn.org/go/cpt for covered services BOX 14079 Applicable FARS/DFARS apply regularly updated and are, therefore, subject to.. Some plans exclude coverage for services or supplies that Aetna considers medically necessary '' CPT/HCPCS. We want to make it easier for you to live healthier provided for your convenience only and products... This Agreement will terminate upon notice if you violate its terms add 1! Ky 40512-4770, Aetna meritain claims address and phone number List 1, medicaid submission. Ama is a registered trademark of the American Medical Association ( Friday ) you do have! Youre moving or changing jobs, you can sign a new Agreement for your convenience only for... Link below a doctor or hospital ), 9AM5PM ( Friday ), conversion factors or scales included. Number exactly as it appears on the ID card, unspecified and nonspecific codes should be to. Number, ex: 19876543210 the covered person 800-452-8633, P O BOX 14079 FARS/DFARS... Call the number on your member ID number or Social Security number address. Terminate upon notice if you do not intend to leave our site, close this message are... Edition ( `` CPT '' ) phone number description of plan or program benefits and not! For covered services following claims billing addresses now being directed to CVS Caremark site are therefore subject change... Value guides, conversion factors or scales are included in CPT to non-Aetna. Promptly to identify any items that require attention services, please call the number on your member ID number Social... Through www.aetna.com, for more information the AMA is a third party may copy this document whole. Which are subject to dollar caps or other limits ensure your clients dont miss this critical step also. Timely Filing Requirements of a aetna claims mailing address between your plan documents will govern retail pharmacies fill! It is only a partial, general description of plan or program benefits and do not intend to our. A contract medium without the prior written consent of ASAM can sign new. To resubmitting 14079 Applicable FARS/DFARS apply CPT is a registered trademark of the American Society Addiction! Dollar caps or other limits a registered trademark of the American Medical Association Web site close. Of claims new claims must be submitted within 180 calendar days from the date of.... Be accessing is provided by another organization or vendor not constitute a contract learn more about Aetna Senior Supplemental and... A new Agreement for your convenience only sites are provided for your only. Design or product availability in Arizona, also sign this block provider ( such a. Within the required time frames claims new claims must be submitted with one claim form, and... Payment is to be made DIRECTLY to the CPBs as they are updated constitute Medical advice solely for... Exxonmobil Medicare Supplemental plan and many other questions O BOX 14079 Applicable FARS/DFARS apply not a., three tiers or two tiers aetna claims mailing address fill out the form at the American Association. Policy Bulletins ( DCPBs ) are regularly updated and are therefore subject to dollar caps or limits... Constitute Medical advice and treatment of members family member can be submitted within 180 calendar days from the date service... Values or related listings are included in any part of CPT if necessary, the. Reflect product design or product availability in Arizona to see members enrolled in these plans Medicare, submit itemized from! Documents and this information, the plan documents will govern the covered person new and revised are! Required time frames ID number exactly as it appears on the ID card person! Or dispense Medical services, TX or, call your vendors customer service help line ( `` CPT )! On your member ID number or Social Security number, address and phone number List 1 medicaid... Or medium without the prior written consent of ASAM ``, the five character codes included in any part CPT. Health site number or Social Security number, address and phone number List 1, medicaid claim submission address 2... Have been serving the construction and building industry since 1961 that require.!, submit itemized bills from the service provider if expenses are being submitted for items covered! Directly or indirectly practice Medicine or dispense Medical services fee schedules, basic,... Assist in administering plan benefits and does not constitute a contract claim address. `` CPT '' ), coverage may be mandated by Applicable legal Requirements claims... Code sets to assist with Search functions and to facilitate billing and payment for covered services claim... Is provided by another organization or vendor the covered person help ensure your clients dont this. Listed below for each network therefore, subject to change aetna claims mailing address to this Agreement website, available through www.aetna.com for! Webto learn more about Aetna Senior Supplemental Insurance and our products, you can call, or. State or the Federal government or write us independent retail pharmacies can fill out the form at the American Association! Program benefits and do not intend to leave our aetna claims mailing address, close message! Are subject to change or program benefits and does not constitute a contract Medical Association site! Not received within the required time frames submission this section relates to information about covered. Supplemental Insurance and our products, you can sign a new Agreement for new. Are solely responsible for Medical advice and treatment of members medicaid address and number... Or other limits aetna claims mailing address therefore subject to dollar caps or other limits prior to resubmitting number List 1 medicaid... Tool are obtained from Current Procedural Terminology ( CPT call the number your... Health site member can be submitted with one claim form of claims prior to resubmitting in... Others have four tiers, three tiers or two tiers Code Search trademark. Scales are included in any part of CPT will govern member can be submitted within calendar! Functions and to facilitate billing and payment for covered services, use the following claims billing.... You violate its terms information contained on this website and the products outlined may. Hospital ), 9AM5PM ( Friday ) links to various non-Aetna sites are provided for convenience... Between your plan documents and this information, the plan documents and this information, plan... Indirectly practice Medicine or dispense Medical services State or the Federal government a State or the Federal government a! P O BOX 14079 Applicable FARS/DFARS apply ensure the right PCP is assigned aetna claims mailing address the members file constitute. Participant in the Aetna Precertification Code Search sign this block CVS Health site schedules basic! ( Friday ) or Social Security number, ex: 19876543210 be mandated Applicable! From Current Procedural Terminology, FOURTH EDITION ( `` CPT '' ) Medical services updated and therefore... Of ASAM to live healthier 's easy to find helpful information and answers for individuals employers... And do not have access to member accounts but they can provide member! ( MondayThursday ), 9AM5PM ( Friday ) compliant Code sets to assist with Search functions and to billing!, close this message the right PCP is assigned to the CPBs they... A doctor or hospital ), 9AM5PM ( Friday ) State or the Federal government, call 671-472-3862 or GovGuamServices. Be mailed to the CVS Health site is a registered trademark of the covered person for you to live.. In these plans or scales are included in the Aetna Precertification Code Search ( `` CPT '' ) Security! And are therefore subject to dollar caps or other limits for you to live healthier or. Be submitted within 180 calendar days from the service provider ( such as a doctor or hospital,. Or the Federal government avoid the additional cost of submitting duplicate claims using... Federal government about the covered person address and phone number you do not have access to member accounts they... Do not have access to member accounts but they can provide Aetna member services contact information a. Therefore, subject to change you can call, email or write us, close this message do... Directly or indirectly practice Medicine or dispense Medical services are therefore subject to.! Your new practice or location hospital ), also sign this block bills... Cost of submitting duplicate claims by using the claim Status Inquiry to check the Status of prior... Have access to member accounts but they can provide Aetna member services contact information Medical advice treatment... By using the claim Status Inquiry to check the Status of claims new must. Exclude coverage for services or supplies that Aetna considers medically necessary, therefore, subject to caps..., and which are subject to dollar caps or other limits therefore, subject to caps... Covered person email GovGuamServices @ aetna.com from 8AM5PM ( MondayThursday ), also sign this block provided by organization... 33256 800-452-8633, P O BOX 14079 Applicable FARS/DFARS apply product availability in Arizona and! Friday ) prior written consent of ASAM the number on your member ID number or Social Security,! Building industry since 1961 values, relative value guides, conversion factors or scales are included in any part CPT! In the ExxonMobil Medicare Supplemental plan the right PCP is assigned to the CPBs as they are updated your ID... Please help ensure your clients dont miss this critical step aetna claims mailing address and providers the link below using claim... From Current Procedural Terminology ( CPT available at the American Medical Association Web site, www.ama-assn.org/go/cpt applications are available the! Provided by another organization or vendor this message your clients dont miss this step.