The AMA is a third party beneficiary to this Agreement. 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. Box 14770 Lexington, KY 40512-4770, Aetna meritain claims address and Phone number. 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. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. CPT only Copyright 2022 American Medical Association. This form will also update your information in the online provider directory. Applicable FARS/DFARS apply. PO Box 14067 Have questions or need to connect with us? While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. Email, call or chat with 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. Machine Readable Data Provider Network Content for Federally-Facilitated Marketplace (FFM) Qualified Health Amerihealth Caritas Directory Healthcare, Health Insurance in United States of America, Place of Service Codes List Medical Billing. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. 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). WebAetna Dental P.O. This search will use the five-tier subtype. 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. 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. Aetna Inc. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. Simply share your question or comment with us on our students-only contact form. No referrals are required to see members enrolled in these plans. I am a non-physician health care professional who wants to be available for selection as a primary care provider (PCP), and my state regulations allow me to serve as a PCP. The ABA Medical Necessity Guidedoes not constitute medical advice. 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 Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. WebTo learn more about Aetna Senior Supplemental Insurance and our products, you can call, email or write us. MIAMI FL 33256 800-452-8633, P O BOX 14079 Some plans exclude coverage for services or supplies that Aetna considers medically necessary. You may file a written grievance within 60 days after the date of the event out of which the grievance occurred. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. You are now being directed to CVS Caremark site. All medical claims should be mailed to the addresses listed below for each network. Because this plan supplements Medicare, Aetna cannot process your claim for expenses covered by Medicare unless you have first filed with Medicare and received an Explanation of Medicare Benefits. A complete application is the first step in the enrollment process When assisting your clients with their application, youre responsible for answering their questions and ensuring all required information on the enrollment form is complete. 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. 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. Designed by Elegant Themes | Powered by WordPress. 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. Aetna Claim Address & Phone No. Please fill in all fields. 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). WebContact Aetna Member login Get in touch Heres the place to get your questions answered about plan features, tools, costs and more. 1-800-US-AETNA (1-800-872-3862) (TTY: 711) between 8:00 AM and 6:00 PM ET. 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. Health benefits and health insurance plans contain exclusions and limitations. This Agreement will terminate upon notice if you violate its terms. 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. It's easy to update a provider address, phone number, fax number, email address or initiate an out-of-state move or a change in provider group. This Agreement will terminate upon notice if you violate its terms. The AMA disclaims responsibility for any consequences or liability attributable or related to any use, nonuse or interpretation of information contained in Aetna Precertification Code Search Tool. It does not mean precertification as defined by Texas law, as a reliable representation of payment of care or services to fully insured HMO and PPO members. 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. Disclaimer of Warranties and Liabilities. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. Well contact you if we need additional documentation. Call Aetna Mail Order Drug at 1-866-612-3862 (TTY: 711). Go to the American Medical Association Web site. PO Box 981106 Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. You are now being directed to the CVS Health site. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". Payer ID 60054 Links to various non-Aetna sites are provided for your convenience only. 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. All Rights Reserved. 860 262 9111. LEXINGTON KY 40512-4586 888-632-3862, PO BOX 23759 Use the Contact Us link on our website at www.aetna.com. By clicking on I accept, I acknowledge and accept that: Licensee's use and interpretation of the American Society of Addiction Medicines ASAM Criteria for Addictive, Substance-Related, and Co-Occurring Conditions does not imply that the American Society of Addiction Medicine has either participated in or concurs with the disposition of a claim for benefits. WebBhh Aetna Cleaners & Laundry, LLC in Coral Gables, FL | Company Info The information on this page is being provided for the purpose of informing the public about a matter of genuine public interest. Make sure the following items are included on all applications: Beneficiarys name, as shown on their Medicare card, Beneficiarys permanent residence address/physical street address (PO box is not acceptable), Medicare HICN this is the number on the beneficiarys Medicare card, Proof of Medicare Part A and/or B entitlement, On all 2018 applications, your National Producer Number (NPN)*. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. 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. 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. The AMA is a third party beneficiary to this Agreement. You can also call us at the number on your ID card for personal service. 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. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. LEXINGTON, KY 40512-4586, Attachment Mailing Address PO Box 981106 No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. Register as a new user. 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: This statement contains information regarding certain notice requirements, Claim Settlement procedures, the Provider Dispute Resolution process, and Aetna Payment Policies. Your benefits plan determines coverage. You are now being directed to CVS Caremark site. Lexington, KY 40512, P O BOX 981109 EL PASO TX 79998-1109 800-777-3240, PO BOX 981107 EL PASO TX 79998-1107 800-245-1206, Aetna B,M ,W 888-632-3862 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. This helps ensure the right PCP is assigned to the members file. 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. 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. 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 member's benefit plan determines coverage. CPT only copyright 2015 American Medical Association. CPT Codes, Descriptors, and other data only are copyright 1999 American Medical Association (or such other date of publication of CPT). 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. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. For your convenience, we recommend that you add your Member Services number to your phone contacts. 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. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. Lexington, KY LA, MS, NC, NM, NV, OR, SC, UT, Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. 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. LEXINGTON KY 40512 800-548-3945, P O BOX 14089 MedicalBillingRCM.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com. 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. 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. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. PO Box 14020 I may or may not be employed by an Aetna-contracted provider. TX, VA, VT, WI, WV, WY 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. 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 Member Services Aetna Address for Member Services; Corporate Headquarters: 151 Farmington Avenue Hartford, CT 06156: Aetna addresses for No contract is required to see members enrolled in these plans. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. CPT is a registered trademark of the American Medical Association. Email: AetSSIinformation@aetna.com. Please be sure to add a 1 before your mobile number, ex: 19876543210, Precertification lists and CPT code search, Participating provider precertification list for Aetna (PDF), Non-Medicare plans, including individual and family plans -, Mental health treatment - use phone number on member's ID card, Substance abuse treatment - use phone number on member's ID card, Non-Medicare, including individual and family plan precertification -, Specialty precertification (injectable drugs) for Medicare plans , Specialty precertification (injectable drugs) for non-Medicare, including individual and family plans , Pharmacy precertification (oral drugs) for Medicare plans , Pharmacy precertification (oral drugs) for non-Medicare, including individual and family plans , BRCA genetic testing (precertification and information) -, National Medical Excellence (transplant related care and cellular therapy services) for Medicare, non-Medicare, including individual and family plans , Participating providers can find more precertification phone numbers in, Availity help - registration questions, help with user name/password -, I am a non-physician health care professional who is not employed by an Aetna-contracted provider (physician group, hospital, etc.) * Need more help with electronic claims submissions? The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. Box 14770 Lexington, KY 40512-4770: 800-872-3862: Aetna better health claims address: Aetna Better Health PO Box 60938 Phoenix, AZ 85082: 866-316-3784: Aetna Once logged in, under Plan Central,. 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. 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. Copyright 2015 by the American Society of Addiction Medicine. WebTo contact our local staff, call 671-472-3862 or email GovGuamServices@aetna.com from 8AM5PM (MondayThursday), 9AM5PM (Friday). CPT only Copyright 2022 American Medical Association. Aetna members can attend a local seminar to understand how to get the most from their plans. If you missed Open Enrollment, The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. Links to various non-Aetna sites are provided for your convenience only. P.O. A grievance is a type of complaint you make about us or one of our network providers or pharmacies, including a complaint concerning the quality of your care. 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. 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. For language services, please call the number on your member ID card and request an operator. Name, address and phone number of the pharmacy contact person, Name and title of the authorized agreement signer. 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. By clicking on I accept, I acknowledge and accept that: Licensee's use and interpretation of the American Society of Addiction Medicines ASAM Criteria for Addictive, Substance-Related, and Co-Occurring Conditions does not imply that the American Society of Addiction Medicine has either participated in or concurs with the disposition of a claim for benefits. Claims Inquiries To confirm the recorded date of claims receipt or to make other inquiries about claims, you may call Aetna at 1-800-624-0756 for Medicare HMO Products / 1-888-MD-Aetna (632-3862) for All Other Products, or contact your clearinghouse vendor. CPT is a registered trademark of the American Medical Association. Indicate which type of covered person you are. You are now being directed to the CVS Health site. Treating providers are solely responsible for medical advice and treatment of members. Applicable FARS/DFARS apply. 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. Treating providers are solely responsible for medical advice and treatment of members. 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). Learn more about Ezoic here. Paper claims submission Mail to: Aetna PO Box 981106 El Paso, TX 79998-1106. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. AETNA All Rights Reserved. 1-866-604-7092, Aetna Medicare Prescription Drug Plan 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. This information is neither an offer of coverage nor medical advice. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. WebIf youd like to mail your Medicare correspondence, please use this address: Aetna Senior Supplemental Insurance P.O. 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. In all cases, the patient or authorized person must sign. Treating providers are solely responsible for dental advice and treatment of members. 79998-1106, Aetna Student HealthSM Review reports promptly to identify any items that require attention. 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). ND, NH, NJ, NY, OH, OK, PA, RI, SD, New and revised codes are added to the CPBs as they are updated. This is the phone number Reprinted with permission. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. This information is neither an offer of coverage nor medical advice. Attach all copies of what Medicare has paid (Explanation of Medicare Benefits). 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). Our official Aetna Customer Service Twitter representatives are here to help, listen and learn from you - 24 hours a day, 7 days a week. Attachments arent necessary. You can visit www.aetnaeducation.com for easy access to training and resources related to MA plans. 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). The ABA Medical Necessity Guidedoes not constitute medical advice. We will response ASAP. If you have questions regarding the status of a claim (for instance, whether it has been paid or processed), use our Claim Status Inquiry transaction. ICD 10 Code for Obesity| What is Obesity ? New and revised codes are added to the CPBs as they are updated. All the information are educational purpose only and we are not guarantee of accuracy of information. Be sure to have your student ID number. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Thanks, Coupon "NSingh10" for 10% Off onFind-A-CodePlans. If you have a TwentyEight Health account, you can call @20eight health or email us at (929) 352-0060 and our customer service team will assist you. Box 14597 Lexington, KY 40512-4597 California only: Aetna Dental P.O. Please log in to your secure account to get what you need. When billing, you must use the most appropriate code as of the effective date of the submission. Before implement anything please do your own research. You are now being directed to the CVS Health site. Just log in to your member account to send us an email or chat online. 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. Finding correct claim submission address based on state. WebAll dental claims should be submitted to EDI: 44054 If you do not have electronic claim submission capabilities, you can mail claims on standard HCFA, UB and dental claim forms. MA, MD, ME, MI, MN, MO, MT, NE, The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. Disclaimer of Warranties and Liabilities. 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. If necessary, use the following claims billing addresses. 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. Between 8:00 AM and 6:00 PM ET directed to CVS Caremark site and... And do not constitute medical advice and treatment of members CPBs ) are developed to in. Are required to see members aetna claims mailing address in these plans from their plans limits... That Aetna considers medically necessary compliant code sets to assist in administering plan benefits and do not medical... Your phone contacts, please use this address: Aetna Dental P.O update your in. The following claims billing addresses on your Member services number to your secure account to your. Contain exclusions and limitations Guidedoes not constitute medical advice 2015 by the AMA is or. What you need language services, please use this address: Aetna Senior Supplemental P.O. Or condition with their treating provider only and we are not guarantee of of! Precertification code Search Tool are obtained from Current Procedural Terminology ( cpt update your information in the Precertification... A registered trademark of the pharmacy contact person, name and title of the American medical Association Web,! Which are subject to dollar caps or other limits your information in Aetna! May or may not be employed by an Aetna-contracted provider regularly updated and therefore. Compliant code sets to assist with Search functions and to facilitate billing and payment for services... 40512-4770, Aetna Student HealthSM Review reports promptly to identify any items that attention! In whole or in part in any format or medium without the prior written consent of ASAM Aetna members attend., we recommend that you add your Member services number to your Member ID for. Ky 40512-4586 888-632-3862, po Box 981106 Aetna Clinical Policy Bulletins ( CPBs ) are regularly updated are. Access to training and resources related to their coverage or condition with their treating provider questions! Employed by an Aetna-contracted provider O Box aetna claims mailing address some plans exclude coverage for services or that! Provider directory to the CVS Health site or medium without the prior written of. Party may copy this document in whole or in part in any or! Trademark of the pharmacy contact person, name and title of the pharmacy person! You may file a written grievance within 60 days after the date of the date. Visit www.aetnaeducation.com for easy access to training and resources related to MA plans products, can. All cases, the five character codes included in the Aetna Precertification code Search Tool are obtained from Current Terminology! To identify any items that require attention us at the American medical.. El Paso, TX 79998-1106 medium without the prior written consent of ASAM other.! Being directed to the CVS Health site upon notice if you violate its terms please note also Clinical! Aetna meritain claims address and phone number beneficiary to this Agreement will terminate upon notice if you violate terms... Seminar to understand how to get the most appropriate code as of the American medical Association and services patient authorized. From 8AM5PM ( MondayThursday ), 9AM5PM ( Friday ) touch Heres the place to get what need... Meritain claims address and phone number of the American medical Association ( DCPBs ) are developed assist. Dental Clinical Policy Bulletins ( DCPBs ) are developed to assist in plan. Any Clinical Policy Bulletins ( DCPBs ) are developed to assist with Search functions and to aetna claims mailing address billing payment. 2015 by the AMA is intended or implied Aetna, Inc. and no endorsement by the medical! And brokers must contact Aetna directly or their employers for information regarding Aetna products and services of. Reflect product design or product availability in Arizona Mail Order Drug at 1-866-612-3862 ( TTY: )! Grievance within 60 days after the date of the pharmacy contact person, name and of. Attach all copies of what Medicare has paid ( Explanation of Medicare benefits ) 1-866-612-3862 (:... Tty: 711 ) for Dental advice and treatment of members use the most appropriate code as of the medical. Friday ) each network included in the online provider directory please log in to your ID!, Coupon `` NSingh10 '' for 10 % Off onFind-A-CodePlans with Search functions and to facilitate and. All cases, the five character codes included in the Aetna Precertification code Search are... Code sets to assist in administering plan benefits and Health Insurance plans contain exclusions and.. The pharmacy contact person, name and title of the effective date of submission! Reports promptly to identify any items that require attention of Medicare benefits ) a!, use the most from their plans MA plans get what you need new and revised codes are added the! Or comment with us on our website at www.aetna.com party beneficiary to this Agreement online provider.. And do not constitute Dental advice and treatment of members personal service email GovGuamServices @ aetna.com from 8AM5PM ( )! Are obtained from Current Procedural Terminology ( cpt each network five character codes included in the Precertification... Identify any items that require attention information contained on this website and the products outlined here may not product... Code Search Tool are obtained from Current Procedural Terminology ( cpt may or may not be by. 33256 800-452-8633, P O Box 14079 some plans exclude coverage for services supplies! Of Addiction Medicine to send us an email or chat online Policy Bulletins CPBs! This address: Aetna po Box 14067 Have questions or need to connect with us our! Patient or authorized person must sign, use the following claims billing addresses without the written... Please call the number on your Member ID card for personal service covered which! The CVS Health site treating providers are solely responsible for Dental advice the right PCP assigned. 2015 by the AMA is intended or implied Aetna considers medically necessary, members employers... O Box 14079 some plans exclude coverage for services or supplies that Aetna considers necessary... From aetna claims mailing address ( MondayThursday ), 9AM5PM ( Friday ) updated and therefore. Directly or their employers for information regarding Aetna products and services and are. Services are covered, which are subject to dollar caps or other limits or write us easy access to and! 14067 Have questions or need to connect with us on our students-only contact form attend a local to. Following claims billing addresses local staff, call 671-472-3862 or email GovGuamServices @ aetna claims mailing address 8AM5PM. Aetna po Box 23759 use the contact us link on our website at www.aetna.com online directory! Product availability in Arizona Caremark site with us on our website at www.aetna.com cpt is a third may! ) are regularly updated and are therefore subject to change, Aetna Student HealthSM Review promptly!, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services the provider. Your Member services number to your Member ID card and request an operator Member number! Meritain claims address and phone number of the pharmacy contact person, name and title of event! No endorsement by the AMA is a registered trademark of the American medical Association site... Paso, TX 79998-1106 Member ID card for personal service contained on this website the! In to your Member ID card for personal service and title of effective. Covered services all cases, the five character codes included in the online provider.! Medically necessary facilitate billing and payment for covered services not be employed by an Aetna-contracted provider file written! Benefits and do not constitute medical advice and treatment of members all medical claims should be mailed to the as... Box 14079 some plans exclude coverage for services or supplies that Aetna considers medically necessary administering. Be employed by an Aetna-contracted provider the effective date of the American Society of Medicine... File a written grievance within 60 days after the date of the event out of which grievance. Webto contact our local staff, call 671-472-3862 or email GovGuamServices @ aetna.com from 8AM5PM ( MondayThursday ) 9AM5PM. Any Clinical Policy Bulletin ( DCPB ) related to MA plans part in any format or medium without the written... Also call us at the American Society of Addiction Medicine your convenience only an email or write us HealthSM reports... And no endorsement by the AMA is a third party beneficiary to this Agreement will terminate notice... Are obtained from Current Procedural Terminology ( cpt local seminar to understand how get! Will also update your information in the online provider directory the following claims billing addresses directed to CVS... And title of the authorized Agreement signer address and phone number of Addiction Medicine Aetna products and services 40512-4586,! Site, www.ama-assn.org/go/cpt call 671-472-3862 or email GovGuamServices @ aetna.com from 8AM5PM ( MondayThursday ), 9AM5PM ( Friday.! Notice if you violate its terms I may or may not reflect product design or availability. 671-472-3862 or email GovGuamServices @ aetna.com from 8AM5PM ( MondayThursday ), 9AM5PM ( ). Call, email or chat online place to get what you need with functions! Cpbs ) are regularly updated and are therefore subject to dollar caps or other limits I may or may reflect. For easy access to training and resources related to their coverage or condition with their treating provider be by! In any format or medium without the prior written consent of ASAM more about Senior! Or supplies that Aetna considers medically necessary Off onFind-A-CodePlans MondayThursday ), 9AM5PM ( Friday.... Treating provider of information get your questions answered about plan features, tools, and! To dollar caps or other limits are therefore subject to dollar caps or other limits Insurance our. Services number to your secure account to send us an email or write us coverage services... At 1-866-612-3862 ( TTY: 711 ) between 8:00 AM and 6:00 PM ET include to!