Provider termination form and directory update. Together, Banner and Aetna are taking a new approach to the way health care is offered. Provider Information Updates: If you are an existing myNEXUS Participating Provider and need to update any of your Provider Information (i.e. To request participation in Coventry Workers’ Compensation, Coventry Auto Injury, or First Health networks, follow the links below. Aetna Medicare Plan (HMO) Aetna Medicare Prime Plan (HMO) Quality Point of Service (Except the ID starts with W) HMO (Except the ID starts with W) Aetna Medicare Plan Open … For all other Products’ Provider Dispute Inquiries (PPO and Commercial HMO plans): Contact the Provider Service Center at 1-888-MD-Aetna (632-3862). Worker’s comp - … Submit a copy of the Remit/EOB page on which the claim is paid or denied. Claims and Resubmissions. Aetna Medicare P.O. Aetna Provider Phone Number for below plans - 800-624-0756. Chain or PSAO pharmacies can request to participate in our Part D retail pharmacy network by e-mailing us this information: This question helps us get you to the correct log-in screen. The reason customers call 800-353-1232 is to reach the Aetna Medical Provider Credentialing Customer Service department for problems like Delayed claim, Make a claim, Coverage question, Get insurance, Renew coverage. Submit one copy of the Remit/EOB for each claim appealed. Fill out, securely sign, print or email your aetna eap provider forms instantly with SignNow. 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. Note: If you are a hospital based provider seeking to join an already contracted group, you do not need to complete the application independently. Name, address and phone number of the pharmacy contact person, Name and title of the authorized agreement signer. 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. If you do not receive a response within 45 days of submitting your request, please use the Contact Us feature in Payer Spaces on Availity or … We'll need to terminate your existing agreement with us. Aetna HMO-Based plans and Medicare advantage plans: 800-624-0756: Aetna Indemnity and PPO Based plans: 888-632-3862: Voluntary Plans: 888-772-9682: ASA and Meritain: Use the phone number on the member ID Card: BRCA genetic testing (precertification and information) 877-794-8720: Credentialing: 800-353-1232: Aetna Dental providers: 800-451-7715: Disease management programs Aetna (Shanghai) Enterprise Services Co. Ltd Suite 702, 757 Meng Zi Road, Gopher Center, Huang Pu District Shanghai, China. Do you have Aetna insurance through an employer or are you a Medicare member? Aetna Medicare PO Box 7762 London, KY 40742. Learn more >, If your browser is in Private mode, pages that use personal or geographic information may not work. Aetna.com works best with Internet Explorer 11 and above, and does not work in compatibility mode. Please enable it to continue. Aetna Eap Forms. Huatai fronted members. Aetna members, you can Log in or Register for the Aetna Navigator secure member website to manage your benefits--view claims, find a doctor, check eligibility information, order ID cards and more--and contact us in a secure environment. All states except California: Aetna Dental P.O. Yes This form will also update your information in the online provider directory. The Provider Service Center helps with contracting, patient services, precertification and many other questions. Provider eligibility verification (No login required) Independent retail pharmacies If you're moving or changing jobs, you can sign a new agreement for your new practice or location. 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. Available for PC, iOS and Android. Member services: claims and pre-authorization Telephone: +86-400-881-1291 You can also log in to your secure member portal to find a phone number that will direct you to a representative who knows your specific coverage. Common problems addressed by the customer care unit that answers calls to 877-238-6200 include Get insurance, Renew coverage, Make a claim, Delayed claim, Coverage question and other customer service issues. 151 Farmington Avenue, Hartford, CT 06156. Aetna Dental P.O. The Provider Service Center helps with contracting, patient services, precertification and many other questions. Learn more >, Aetna.com works best with Safari 8 and above. You can also contact Medicare or the Social Security Administration. Use your Practice Management Software or our secure provider portal to seamlessly submit and track Medicare transactions. Contact us by phone. Links to various non-Aetna sites are provided for your convenience only. Box 981106 El Paso, TX 79998-1106. Independent non-retail pharmacies If you missed Open Enrollment, please contact your HR representative immediately. Learn more about this innovative partnership, and how these two industry leaders aim to provide more efficient and effective patient care at a more affordable cost. PreferredOne will administer the eligibility, claims processing and provide stop loss, customer service, account service, and employer reporting in a seamless solution. Click Become An Agent if you are interested in taking advantage of our sales opportunities HEALTH CARE PROFESSIONALS, PHYSICIANS, PROVIDERS 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: E-mail your pharmacy information to Aetna. Allina Health | Aetna has a dedicated customer team trained to answer your questions. Please allow 45 days for a network representative to process the change or make contact with you for additional information. Links to various non-Aetna sites are provided for your convenience only. Exception: For workers' compensation network in Texas, do not apply online; instead, call 1-800-937-6824. Aetna Better Health will process appeals and adjudicate the claim within thirty (30) days from the date of receipt. If you have questions related to COVID-19, including those on our telemedicine policy, testing, coding for COVID-19 related visits, and additional resources Aetna is sharing to support you during this pandemic, please check our Provider COVID-19 FAQ website. Email: AetSSIinformation@aetna.com. For questions about joining our network or renewing your contract, please call 1-888-MD-AETNA. I may or may not be employed by an Aetna-contracted provider. Call Aetna Voice Advantage today Call the National Dentist Line at 1-800-451-7715 to access Aetna Voice Advantage. To help us direct your question or comment to the correct area, please select a category below. In order to have the best experience on Aetna.com, Javascript needs to be enabled. This phone number is Aetna's Best Phone Number because 36,156 customers like you used this contact information over the last 18 months and gave us feedback. Do you have Aetna insurance through an employer or are you a Medicare member? Submit electronic claims to Medicare for all Medicare covered services. HMO and Medicare Advantage - 1-800-624-0756. If you have any questions or concerns, contact member services using the phone number located on the back of your ID card. Apply to join the workers’ compensation network in New York. Aetna and CVS Pharmacy® are part of the CVS Health family of companies. Member services: claims and pre-authorization Telephone: +86-400-881-1269 Fax: +86-216-326-8525 Email: AGBChinaServicesShanghai@aetna.com. To contact our local staff, call 671-472-3862 or email GovGuamServices@aetna.com from 8AM—5PM (Monday—Thursday), 9AM—5PM (Friday). × PO Box 66125. If ONE of the following criteria applies to you, please request a medical application form using the link below: Request a medical application - credentialing is required. This Aetna phone number is ranked #8 out of 13 because 36,156 Aetna customers tried our tools and information and gave us feedback after they called. Contact Us; Providers. Address: 800 Crescent Centre Drive, Suite 200 Franklin, TN 37067. A provider may appeal any disposition of a claim. If you missed Open Enrollment, please contact your HR representative immediately. All claims and specialist authorizations. The most secure digital platform to get legally binding, electronically signed documents in just a few seconds. Aetna DMO ® and PPO grievance and appeals. If you prefer to contact Member Services with this public form, please complete the information below. Medical professionals or part of a medical group, Other networks (including our First Health, Medicare Part D, and Workers’ Compensation Networks), Submit a medical or behavioral health question or comment, Submit National Provider Identifier (NPI), Submit National Provider Identifier (NPI) exemption, Request clinical review criteria for New York State Residents. California only: Aetna Dental P.O. It’s easy to get the information you need. Indemnity and PPO-based plans - 1-888-MD AETNA ( 1-888-632-3862) Voluntary plans - 1-888-772-9682. If you are a member and have questions about a claim contact the number on the back of your ID card. California license number: OB84599. Medicare Helpline Website: Get general or claims-specific Medicare information, request documents in alternate formats and make changes to your Medicare coverage. Please fill in all fields. ASA and Meritain - use phone number on member’s ID card, BRCA genetic testing (precertification and information) -, Claims – if you have questions about claims, contact the Provider Service Center (see list below), Mental health treatment - use phone number on member’s ID card, Availity help – registration questions, help with user name/password, Substance abuse treatment - use phone number on member’s ID card, I am a non-physician health care professional who is not employed by an Aetna-contracted provider (physician group, hospital, etc.) For all Aetna Student Health and Medicare Plans use: For all Aetna Voluntary and Limited Benefits Plans use: Request a Medical coverage decision by Mail: Aetna Medicare Part C Appeal and Grievances. For language services, please call the number on your member ID card and request an operator. Start a free trial now to save yourself time and money! We refer to these providers as being in our network some of our benefit plans pay for services from providers who are not in our network. Massachusetts license number: 10041444. To speak to someone about your Allina Health | Aetna coverage, you can call the Member Services phone number on your member ID card. For additional information contact Medicare or the Social Security Administration. 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: Box 14597 Lexington, KY 40512-4597. Student health insurance plans are underwritten by Aetna Life Insurance Company (Aetna). You can also mail hard copy claims or resubmissions to: Aetna Better Health of California. Independent retail pharmacies can fill out the form at the link below. Learn more about Aetna by contacting your broker or PreferredOne. Aetna and MinuteClinic, LLC (which either operates or provides certain management support services to MinuteClinic-branded walk-in clinics) are both within the CVS Health family. Learn more about private mode. All dental Medicare claims . 800-238-6279. 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. You can also contact Medicare or the Social Security Administration. Phoenix, AZ 85082-6125 Resubmitted claims should have “resubmission” marked clearly on the claim form to avoid being denied as a duplicate. Box 14094 Lexington, KY 40512-4094. Denials with solutions in Medical Billing, Denials Management – Causes of denials and solution in medical billing, CO 4 Denial Code – The procedure code is inconsistent with the modifier used or a required modifier is missing, CO 5 Denial Code – The Procedure code/Bill Type is inconsistent with the Place of Service, CO 6 Denial Code – The Procedure/revenue code is inconsistent with the patient’s age, CO 7 Denial Code – The Procedure/revenue code is inconsistent with the patient’s gender, CO 15 Denial Code – The authorization number is missing, invalid, or does not apply to the billed services or provider, CO 17 Denial Code – Requested information was not provided or was insufficient/incomplete, CO 19 Denial Code – This is a work-related injury/illness and thus the liability of the Worker’s Compensation Carrier, CO 23 Denial Code – The impact of prior payer(s) adjudication including payments and/or adjustments, CO 31 Denial Code- Patient cannot be identified as our insured, CO 119 Denial Code – Benefit maximum for this time period or occurrence has been reached or exhausted, ICD 10 Code for Sepsis Severe Sepsis and Septic shock with examples, Molina Healthcare Phone Number claims address of Medicare and Medicaid, Healthfirst Customer Service-Health First Provider Phone Number-Address and Timely Filing Limit, Kaiser Permanente Phone Number – Claims address and Timely Filing Limit, Amerihealth Caritas Phone Number, Payer ID and Claim address, Anthem Blue Cross Blue Shield Timely filing limit – BCBS TFL List, Workers Compensation Insurances List of United States, Workers Compensation time limit for filing Claim and reporting in United States, Amerihealth Caritas Directory – Healthcare, Health Insurance in United States of America, Place of Service Codes List – Medical Billing. TPA partners with claim inquiries should follow the current Aetna Signature Administrators claim inquiry workflow. You are now leaving the Aetna website Links to various non-Aetna sites are provided for your convenience only. To contact our local staff, call 671-472-3862 or email GovGuamServices@aetna.com from 8AM—5PM (Monday—Thursday), 9AM—5PM (Friday). Aetna Student Health Agency Inc. is a duly licensed broker for student accident and health insurance in the Commonwealth of Massachusetts. No. 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. 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. >. Answer YES if you get Aetna coverage through your job or your spouse’s job, or if you have an Aetna Medicare plan. Please contact the myNEXUS Claims Team for questions related to the claims process by calling 833-241-0428. This is the phone number for the corporate contact center they do not have access to member accounts but they can provide aetna member services contact information. Phone: 800 264.4000. We respond to messages from 8am-6pm EST, Monday-Friday. Learn how to change your browser settings to enable Javascript. What is Medical Billing and Medical Billing process steps in USA? For other language services. We're sorry but Vision Benefits Portal doesn't work properly without JavaScript enabled. Aetna and Banner Health provide certain management services to Banner|Aetna. Aetna health insurance claims phone number. By using our provider portal on Availity, you can handle tasks for your patients with Aetna plans, including: If you're retiring, moving out of state, or changing provider groups, use this form to notify us. Circle all appealed claims per Remit/EOB page. 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