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