Click Become An Agent if you are interested in taking advantage of our sales opportunities HEALTH CARE PROFESSIONALS, PHYSICIANS, PROVIDERS It’s easy to get the information you need. All states except California: Aetna Dental P.O. 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. 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 … All dental Medicare claims . 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. 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: Yes Claims and Resubmissions. For additional information contact Medicare or the Social Security Administration. Submit one copy of the Remit/EOB for each claim appealed. You can also contact Medicare or the Social Security Administration. We're sorry but Vision Benefits Portal doesn't work properly without JavaScript enabled. Aetna Provider Phone Number for below plans - 800-624-0756. Aetna DMO ® and PPO grievance and appeals. Please contact the myNEXUS Claims Team for questions related to the claims process by calling 833-241-0428. Use your Practice Management Software or our secure provider portal to seamlessly submit and track Medicare transactions. You are now leaving the Aetna website Links to various non-Aetna sites are provided for your convenience only. I may or may not be employed by an Aetna-contracted provider. Aetna Dental P.O. 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. You can also contact Medicare or the Social Security Administration. Aetna and Banner Health provide certain management services to Banner|Aetna. Massachusetts license number: 10041444. Please allow 45 days for a network representative to process the change or make contact with you for additional information. Contact Us; 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. 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. 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. PO Box 66125. Address: 800 Crescent Centre Drive, Suite 200 Franklin, TN 37067. 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. For questions about joining our network or renewing your contract, please call 1-888-MD-AETNA. Note: If you are a hospital based provider seeking to join an already contracted group, you do not need to complete the application independently. × 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. Links to various non-Aetna sites are provided for your convenience only. Medicare Helpline Website: Get general or claims-specific Medicare information, request documents in alternate formats and make changes to your Medicare coverage. Learn more about private mode. If you missed Open Enrollment, please contact your HR representative immediately. If you prefer to contact Member Services with this public form, please complete the information below. What is Medical Billing and Medical Billing process steps in USA? California only: Aetna Dental P.O. Huatai fronted members. To contact our local staff, call 671-472-3862 or email GovGuamServices@aetna.com from 8AM—5PM (Monday—Thursday), 9AM—5PM (Friday). Aetna (Shanghai) Enterprise Services Co. Ltd Suite 702, 757 Meng Zi Road, Gopher Center, Huang Pu District Shanghai, China. Answer YES if you get Aetna coverage through your job or your spouse’s job, or if you have an Aetna Medicare plan. 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. Independent retail pharmacies can fill out the form at the link below. Do you have Aetna insurance through an employer or are you a Medicare member? Provider termination form and directory update. To help us direct your question or comment to the correct area, please select a category below. Exception: For workers' compensation network in Texas, do not apply online; instead, call 1-800-937-6824. Available for PC, iOS and Android. Box 14094 Lexington, KY 40512-4094. Aetna Better Health will process appeals and adjudicate the claim within thirty (30) days from the date of receipt. 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. 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. To speak to someone about your Allina Health | Aetna coverage, you can call the Member Services phone number on your member ID card. Links to various non-Aetna sites are provided for your convenience only. The Provider Service Center helps with contracting, patient services, precertification and many other questions. Do you have Aetna insurance through an employer or are you a Medicare member? Learn more >, If your browser is in Private mode, pages that use personal or geographic information may not work. 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. >. Circle all appealed claims per Remit/EOB page. To request participation in Coventry Workers’ Compensation, Coventry Auto Injury, or First Health networks, follow the links below. A provider may appeal any disposition of a claim. 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. If you missed Open Enrollment, please contact your HR representative immediately. 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. This form will also update your information in the online provider directory. Aetna Medicare P.O. Start a free trial now to save yourself time and money! Independent non-retail pharmacies 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. Together, Banner and Aetna are taking a new approach to the way health care is offered. Contact us by phone. Email: AetSSIinformation@aetna.com. Member services: claims and pre-authorization Telephone: +86-400-881-1291 In order to have the best experience on Aetna.com, Javascript needs to be enabled. Member services: claims and pre-authorization Telephone: +86-400-881-1269 Fax: +86-216-326-8525 Email: AGBChinaServicesShanghai@aetna.com. Phoenix, AZ 85082-6125 Resubmitted claims should have “resubmission” marked clearly on the claim form to avoid being denied as a duplicate. Fill out, securely sign, print or email your aetna eap provider forms instantly with SignNow. Phone: 800 264.4000. 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. 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. 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.) PreferredOne will administer the eligibility, claims processing and provide stop loss, customer service, account service, and employer reporting in a seamless solution. Aetna Eap Forms. Apply to join the workers’ compensation network in New York. The Provider Service Center helps with contracting, patient services, precertification and many other questions. HMO and Medicare Advantage - 1-800-624-0756. All claims and specialist authorizations. Learn more about Aetna by contacting your broker or PreferredOne. Independent retail pharmacies If you have any questions or concerns, contact member services using the phone number located on the back of your ID card. To contact our local staff, call 671-472-3862 or email GovGuamServices@aetna.com from 8AM—5PM (Monday—Thursday), 9AM—5PM (Friday). 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. Aetna health insurance claims phone number. You can also mail hard copy claims or resubmissions to: Aetna Better Health of California. Call Aetna Voice Advantage today Call the National Dentist Line at 1-800-451-7715 to access Aetna Voice Advantage. Provider Information Updates: If you are an existing myNEXUS Participating Provider and need to update any of your Provider Information (i.e. TPA partners with claim inquiries should follow the current Aetna Signature Administrators claim inquiry workflow. 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 … Submit a copy of the Remit/EOB page on which the claim is paid or denied. 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 all other Products’ Provider Dispute Inquiries (PPO and Commercial HMO plans): Contact the Provider Service Center at 1-888-MD-Aetna (632-3862). Allina Health | Aetna has a dedicated customer team trained to answer your questions. Aetna and CVS Pharmacy® are part of the CVS Health family of companies. 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. Learn how to change your browser settings to enable Javascript. Please enable it to continue. The most secure digital platform to get legally binding, electronically signed documents in just a few seconds. California license number: OB84599. 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. 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. Submit electronic claims to Medicare for all Medicare covered services. Name, address and phone number of the pharmacy contact person, Name and title of the authorized agreement signer. Aetna Student Health Agency Inc. is a duly licensed broker for student accident and health insurance in the Commonwealth of Massachusetts. Aetna.com works best with Internet Explorer 11 and above, and does not work in compatibility mode. Box 14597 Lexington, KY 40512-4597. Provider eligibility verification (No login required) We respond to messages from 8am-6pm EST, Monday-Friday. Box 981106 El Paso, TX 79998-1106. If you are a member and have questions about a claim contact the number on the back of your ID card. I practice independently and I want to contract with Aetna. 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 If you're moving or changing jobs, you can sign a new agreement for your new practice or location. We'll need to terminate your existing agreement with us. 151 Farmington Avenue, Hartford, CT 06156. 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. 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. 800-238-6279. Learn more >, Aetna.com works best with Safari 8 and above. 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