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