Aetna address for claims. Aetna - Medical Benefits (for those living in the U.
Aetna address for claims. This quick reference guide shows you when and where to submit disputes Issue types Claims issues These issues relate to all decisions made during the claims adjudication process. Visit the Meritain Health Provider Services page. On average, Aetna Senior Supplemental Insurance receives 60,000 paper claims each month. However, if you prefer to mail a claim, you can use the address below: * Aetna Senior Supplemental Insurance owns and/or administers the companies included above. This manual applies to any health care provider, including physicians, health care professionals, behavioral health providers, hospitals, facilities, and ancillary providers, who contract with Aetna directly or indirectly, except when indicated otherwise. Aetna International shall have the discretion not to accept liability for payment of invoices received after the expiration of 60 days from the date of discharge of the insured person from the hospital or facility. Find our Aetna Medicare Member contact info for supplement insurance, prescription drug plans, advantage plans & more. For faster, easier submission of claims, the provider (dr office or facility) may contact the Aetna Claims Processing Center for information regarding electronic submissions. We encourage electronic claims submission. View contact information for various State Health Plan vendors to address specific questions or concerns. Oct 27, 2017 · You can also contact Medicare or the Social Security Administration Medicare Helpline & Website - Get general or claims-specific Medicare information, request documents in alternate formats and make changes to your Medicare coverage. Corrected claims should be submitted to the claim address on the back of the patient’s Allied ID card. Effective 1/1/2023, the new P. Providers can contact us through our website, by phone, fax or mail. It allows you to submit claims, get authorizations & referrals, check patient benefits & eligibility, and more. See our health insurance FAQs to get answers about insurance, including dental, life, and disability. Select your state and find Aetna Better Health plan info here. While Aetna is the network for your health care plan, claims need to be sent to the Meritain Health address in • A claim is a request for payment that you or your health care provider submit to Aetna Student Health . Learn how to submit claims electronically, receive payments, estimate payments, refund overpayments and more. However, if you pay for your care out of pocket, you can submit your claims to Aetna Student Health for reimbursement. Call us anytime to find providers, ask benefit questions, check claims status, order a replacement ID card, learn about programs and resources available to you and more. Each of our health plans has different contact info. Change Healthcare (CHC), with Conduent Commercial Solutions, LCC for services related to the receipt and imaging of all paper claims. Know where to go for eligibility, benefits and claims information We want to help you quickly and easily get eligibility and benefits information or send claims for the different health insurance plans we offer. Providers, if you received an overpayment from Aetna, we can help you with the next steps. Get phone numbers, address, logo requests, legal notices and more. Please contact Services Department at 1-866-329-4701 for additional questions. Use current CDT codes (five-position codes starting with the letter “D”) for each Login and registration for Aetna members, employers, agents/brokers and providers. Healthcare providers, meet Gravie. Box number and physical location to which any Aetna Medicaid paper claim and correspondence are currently sent, specifically from P. Or 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. As a result, the address for sending paper claims and correspondence is changing. Email Member Services through your secure member website . Gravie is a licensed, third-party administrator (TPA) that administers health plans for employers. Box 14770, Lexington, KY 40512-4770 Sales Team -- For information about our other Aetna Senior Supplemental insurance products that you do not currently have a policy, call 800 465. Paper claims submissions, correspondence, and/or resubmissions Please use the following address when submitting paper claims use: Aetna Better Health of California Inc. And improve payment turnaround time, so you can save time and effort. Other ways to file claims Find claim forms at the bottom of the member portal login page. Box 982970 El Paso, TX 79998-2970 Mail will be forwarded from the old P. NOTE: INCOMPLETE CLAIM FORMS WILL BE RETURNED TO YOU FOR MISSING INFORMATION. Check on claims status Get contact information, email, phone, address for Aetna Medicaid. Medical claims address: Aetna PO Box 981106 El Paso, TX 79998-1106 We would like to show you a description here but the site won’t allow us. (The proof of death claim form cannot be filled out or signed by the insured/employee, or a beneficiary. Find phone numbers and get the help you need quickly and easily. All claims, eligibility, precert, and everything go directly to payer contact info on ID Card. Call Aetna Member Services: 1-855-339-9731 (TTY: 711) Monday through Friday, 7 AM to 5 PM CT May 9, 2025 · If you need to file or submit a claim, you can either submit the claim online or mail a claim form to us. You can search up to 27 months of claim history, and our response will return a maximum of 12 claims up to a total of 26 service lines. Popular Insurance Payers Contact Information As a healthcare provider managing claims with major insurance payers, having direct access to their Electronic Data Interchange (EDI) departments is crucial for efficient claims processing and issue resolution. Please check out Aetna's webiste: www. The payer will process the claims and will contact us, if needed. 2. You’ll also find resources to help you navigate Aetna functionality on Availity. Oct 11, 2021 · View customer service, member, and provider relations contact phone numbers for Aetna Better Health of Ohio. 200 Franklin, TN 37067 Your dentist will submit the claim to Aetna once the work is completed. The Availity portal is providers’ one-stop shop for doing business with us. We are one of the nation’s largest administrators of health benefits. Contact Us Questions? We're here to help. Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies, including Aetna Life Insurance Company, Coventry Health Care plans and their afiliates (Aetna). Box #66215 in Phoenix, AZ to P. May 31, 2024 · Or fax to (763)-852-5057. Jul 9, 2025 · Contact Aetna Medicare for plan inquiries. Note: Incomplete Claims Forms will be returned to you for missing information. Discover all of our resources for health care professionals and join the Aetna providers network. As a participating provider you must comply with our policies, many of which are described or linked within this manual. Meritain Health, an Aetna Company Meritain Health is an independent subsidiary of Aetna. If you are submitting additional information for the initial review of payment, please forward to the address on the back of the patient’s ID card. Mail paper claim forms to Aetna Voluntary Plans, PO Box 14079, Lexington, KY 40512-4079 or fax to 1-859-455-8650. and are a previously registered Aetna Navigator participant, you may expeience som If you elected medical coverage, your Medical ID cards should be received at your residence prior to the effective date of January 1, 2023 We’re so grateful that you’re an Aetna Medicare Advantage member. However, if you prefer to mail a claim, you can use the address below: Jul 9, 2025 · Contact Aetna Medicare for plan inquiries. Log in or register. Aetna provides certain management services to Allina Health | Aetna. How do I add a family member to my health plan — or remove a family member? Legal notices 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). If you are a small business and current Aetna client, here's how to contact us by selecting the state you are located in. Aetna complies with applicable Federal civil rights laws and does not discriminate, exclude or treat people differently based on their race, color, national origin, sex, age, or disability. Box Address and Vendor for Paper Claim and Claim Correspondence –Effective 4/3/2023 As a valued Aetna member, you have the right to make your voice heard about your health care experience - whether it’s about us, your plan, a health service or provider. Aetna Student HealthSM is the brand name for products and services provided by Aetna Life Insurance Company, Aetna Health and Life Insurance Company and their affiliated companies. If your practice management or hospital information system requires a claims address for submission of electronic claims, or if your office does not have electronic capabilities, refer to the table below for the claims address for your state. We are a licensed, third-party administrator that offers self-funded health plans for employers. Quickly learn how to Bill Aetna for mental health benefits, including benefits verification and claims billing address. ) Death Certificate of the certified Death Certificate Home ofice directory - Medicare Supplement This directory also applies to: Accendo Insurance Company part of the CVS Health® family of companies and Aetna afiliate Learn about Aetna’s ERA, EFT and electronic EOBs tools that help health care providers save time and money. Here is a handy reference list for how to find your plan information and the number to call with questions about your benefits. We partner with Cigna and Aetna Signature Administrators (ASA) to provide our members access to an extensive network of providers, while managing all claims and benefit details in-house. O . (Federally Qualified Health Centers and Rural Health Clinics must use the Provider ID # when billing Ohio Jul 9, 2025 · You can also contact Medicare or the Social Security Administration Medicare Helpline & Website — Get general or claims-specific Medicare information, request documents in alternate formats and make changes to your Medicare coverage. For benefit questions or claims inquiries for Aetna HMO Plan 1-888-802-3862 (prompt 1) Have comments or questions or want more information about Banner | Aetna offerings? Please call the number on your member ID card or contact us online. Utilization review issues These issues relate to decisions made during the precertification, concurrent or Aetna will be replacing the current vendor, Change Healthcare (CHC), with Conduent for services related to the receipt and imaging of all paper claim and claim correspondence. Call 1-800-MEDICARE (1-800-633-4227) or (TTY: 711): 1-877-486-2048, 7 days a week, 24 hours a day. We work to streamline the way we process claims. Information on where providers can submit medical and dental claims both electronically and by mail. If you have questions about your Global Maximum Out Of Pocket amounts, please review your medical Out Of Pocket balances on Aetna’s website (Aetna Member website), your Global Out Of Pocket Maximum’s on Caremark’s website, or contact Aetna directly for assistance. A key factor in getting claims processed in a timely manner is correct claims submission, and Aetna Better Health of Pennsylvania and Aetna Better Health Kids (CHIP) provide multiple options for you to choose from, including the sending of paper claims through the mail. Box 5008 Brentwood, TN 37024 Brentwood, TN 37024 Medical Review Aetna Senior Supplemental Insurance P. View benefits, enroll, waive, or contact Customer Care. Box 982971 El Paso, TX 79998-2971 Name and address If different from billing provider, also send rendering/servicing provider name, address and NPI. com (Use this email address for claims questions & electronic claims). 24 Hour Nurseline Support with Informed Healthline: 800-556-1555. The address for submitting PPO Dental Plan claims is: Aetna Dental Group Dental Claim Division P. If you need to file or submit a claim, you can either submit the claim through our secure provider portal or by mailing a claim form to us. Medical Benefits – Claim Instructions Any person who knowingly and with intent to injure, defraud or deceive any insurance company or other person files an application for insurance or statement of claim containing any materially false information or conceals, for the purpose of misleading, information concerning any fact material thereto commits a fraudulent insurance act, which is a crime How to submit a claim — Invoices must be submitted to Aetna International no later than 60 days from the date of service. Find forms and information on Aetna Medicare appeals process, coverage decisions, and grievances. Browse through our extensive list of forms and find the right one for your needs. Please use the following Submitter ID and Provider ID numbers when submitting claims to the health plan: Submitter ID# 50023 and Provider ID# 0082400 for both CMS 1500 and UB 04 forms. Box 8 Brentwood, TN 37024-9951 Courier Mailing Address Aetna Life Insurance Company 800 Crescent Centre Drive, Ste. We would like to show you a description here but the site won’t allow us. Contact us to learn how Trustmark increases well-being through better health and greater financial security. Yes, the payer ID and claim address are the same for exchange plans. Applications and forms for health care professionals in the Aetna network and their patients can be found here. May 13, 2025 · Do you have questions about Medicare plans? Contact Aetna Medicare for personalized support. Aetna - Medical Benefits (for those living in the U. Additional buy-options: Paper claims submission Submit all paper claims for covered services using an Aetna claim form or by using the standard CMS-1500 or UB-04 form and send to: Aetna PO Box 981106 El Paso, TX 79998-1106 If you have questions, you may contact Provider Services at 1-800-624-0756, Monday–Friday, 8 AM–5 PM local time. If a provider attempts to look up a member’s information through the “main” Aetna system, the provider will not have access to members enrolled in Boon’s Aetna medical and dental benefits. Providers may automatically dial the “main” Aetna line set-up in their ofice phone system, sometimes causing member eligibility to be denied because they are not verifying with Boon’s Member You can file claims with us electronically or through the mail. Reach out via phone, email, or social media. P. Here's information on how to file a member complaint, grievance or appeal. S. If you have not received payment from Aetna Senior Supplemental Insurance, you can easily check the status of the claim using our Provider website or EDI 276 through your Practice Management software. 1023. You can Find the insurance documents you need, including claims, tax, reimbursement and other health care forms. Mail this completed form and your original receipts and itemized bills to the medical claims address on your Aetna member ID card. Claim FAQ While we encourage you to submit all claims electronically, if you need to submit a paper claim, Review our paper claim Tips Print dental claim form (English) Print Contact information for Aetna through CBIA is provided. Call today! Claims mailing address: Aetna PO Box 981106 El Paso, TX 79998-1106 Customer Service Number and Hours: 888-502-3862; 8am-6pm EST; Monday-Friday . Please submit this form within 365 days from the date you received the service or item. aetna. Learn more about how to get in contact with Aetna Better Health of Florida. If you need to file or submit a claim, you can either submit the claim online or by mailing a claim form to us. Box for 12 months after 3/15/2022. 3. Get the most from your member website — Manage your benefits, connect to care, handle claims — from anywhere. Box 14079 Lexington, KY 40512-4079 Claims Inquiries – To confirm the recorded date of claims receipt or to make other inquiries about claims, you may inquire electronically using your preferred electronic claim status vendor. As the administrator of your health care plan, all claims should be sent to Meritain Health for processing and payment. Your one stop for managing your student health insurance plan. To avoid processing delays, please check your records to ensure you are only using the addresses below. ) Website: www. Or call Aetna Member Services and we’ll send you one. com Email: mclaims@aetna. Aetna Voice Advantage® system – available 24 hours a day/7days a week. Electronic solutions for easy claim submission Want to get paid faster? Submit your claims electronically! You should: Review the Electronic Claim Vendor List Electronic Claim Vendor List You can also submit paper claims. Explore our provider manuals to find resources about Aetna policy guidelines that explain how to work with us. Check the The Claim Status Inquiry transaction is for single member inquiries. For example, issues related to the provider contract, our claims payment policies, or processing errors. Allina Health | Aetna has sole responsibility for its products and services. • For claims that have completed the payment process, you may retrieve supplemental claims information using the financial status tool. Health care providers, complete this form to submit a medical or behavioral health question or comment, and an Aetna representative will get back to you. com General Correspondence: P. Consumers, brokers, providers, navigators and members, find contact information to get in touch with us and find answers to your questions about Aetna CVS Health individual and family plans. Sep 16, 2025 · Contact Aetna customer service for your customer service needs. Box 14079 Lexington, KY 40512-4079 859-455-8650 (Fax) Health care providers, learn about the Aetna dispute and appeal process, get timelines to file an appeal or dispute and find contact information if you have questions. Also learn how to find forms customized specifically for your Aetna benefits as well as how to determine which forms are meant for your use if you are unsure. Need claims help? Depending on your needs, you have a variety of resources: • If your claim rejects at the vendor level, contact your vendor. Box #61925 in Phoenix, AZ will be discontinued and mail will be forwarded for 12 months. The change in vendor requires a change in the P. The old P. To obtain a review submit this form as well as information that will support your appeal, which may include medical records, office notes, discharge summaries, lab records and/or member history (this is not an all-inclusive list) to the address listed on your Explanation of Benefits (EOB) or other correspondence received from Aetna. Find the right way to contact Aetna for your needs, whether you are a member, employer, provider, agent or broker. Box 14770, Lexington, KY 40512-4770 Medicare Supplement Claims: P. We value your trust in us to provide coverage for your health care needs. Questions about your coverage? Questions about claims or benefits? The Allied Customer Service team is here to help you get the answers you need. Please contact Customer Service at the number shown on the patient’s ID card. Enjoy personalized member services, connecting you to the information you need. Use this information to confirm it’s an overpayment and learn how to refund the overpayment. PProviders can contact us through our website, by phone, fax or mail. With our self-service tools, you can quickly check your patients ASA, ASH (Student Health) and Meritain are also in network as an Aetna affiliate indicated by Aetna logo on ID Card. Health benefits and health insurance plans contain exclusions and limitations. Claims submission made easy This form can be used to submit a claim for medical, dental, vision, or pharmaceutical services. Or you can fax this completed form, your original receipts and itemized bills to 1-866-474-4040. Call 1-800-MEDICARE (1-800-633-4227) or TTY: 1-877-486-2048, 7 days a week, 24 hours a day. Mar 28, 2014 · Aetna Better Health of Ohio encourages providers to electronically submit claims, through Emdeon. Please select the area or option you are most interested in. In order to ensure timely and accurate processing of the life insurance claim, please include the following with your claim submission: Proof of Death Claim Form - Completed and signed by the employer/authorized employer representative. Learn about how coordination of benefits claims help Aetna determine which company is responsible for payment when a patient is covered by more than one plan. Learn about the different ways to submit electronic insurance claims with Aetna to get paid faster. Other contact information Mail You can reach us at our address: Aetna Better Health ® of Kentucky 9900 Corporate Campus Drive, Suite 1000 Louisville, KY 40223 Aetna Life Insurance Company Aetna Health and Life Insurance Company P. O. For information on electronic claims submission, review our claims, payment and reimbursement resources. Sep 25, 2024 · Get help with Aetna support, contact, and claims assistance. * • For questions on submitting electronic claims to a third-party administrator, such as an individual practice association, contact the administrator directly. FOR FASTER, EASIER SUBMISSION OF CLAIMS, THE PROVIDER MAY CONTACT THE AETNA CLAIM PROCESSING CENTER FOR INFORMATION REGARDING ELECTRONIC CLAIM SUBMISSIONS. Let us know if you have a concern about your coverage or care. Claims questions and rework Please direct all Aetna Signature Administrators claims questions to the appropriate payer on the member’s ID card. Any claims with a frequency code of 5 will not be paid. Find answers for members, physicians, brokers and employers. Aetna Better Health of Illinois P. Your member website and app are personalized, seamless and easy to use. You’ll want to use this Submitter ID number when you submit claims: Provider ID# 128VA for both CMS-1500 sample (PDF) PDF Opens In New Window and UB-04 sample (PDF) PDF Opens In New Window forms. Find telephone numbers and addresses for dentists to contact Aetna. Box 5008 P. Aetna Inc corporate office listing. SilverScript Insurance Company * If you have a SilverScript prescription drug plan (PDP) you can contact the administrative office for that type of plan at 1-866-235-5660 1-866-235-5660 (TTY:711) Aetna PO Box 981106 El Paso, TX 79998-1106 Submit all paper claims for covered services as soon as possible using an Aetna claims form or by using the standard CMS-1500 or UB-04 form. Non-Aetna Medical Members will have to provide supporting documentation along with their Claim (they can use the online tool or submit a paper claim form). We review new technologies How Aetna pays claims for out-of-network benefits Legal notices 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). Find out how to contact Aetna and get legal notices. Aetna offers customers the option to pay higher monthly amounts in return for getting back claims surpluses at termination and renewal:. Build relationships while helping patients with Aetna. Aetna Headquarters & Corporate Office Aetna headquarters is located at 151 Farmington Avenue, Hartford, Connecticut 6105-5900, phone number 800-872-3862 where you can reach the management team and the head office leading departments. Get in contact with Aetna member services. Box 14094 Lexington, KY 40512-4094 For claim status or general questions, call Aetna at (800) 445-2283. 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. Box to the new P. If you need the five-digit payer ID number to show the destination of the claim, use 60054 for Aetna claims, and 68246 for Aetna encounters. Find care, manage benefits, handle claims, get quotes, find forms and more. Find more information about how to contact us and learn more through our provider portal. O. Aetna may add Mar 29, 2023 · Aetna Aetna complaints contacts Visit Contact Member Services Call Customer Care on 1-800-307-4830 Visit Customer Care Contact Form Call Headquarters on 1-800-US-AETNA (1-800-872-3862) Tweet Aetna Customer Care Follow Aetna Watch Aetna Comments Self-insured plans are funded by the applicable school, with claims administration services provided by Aetna Life Insurance Company. Find information on Aetna Inc headquarters such as corporate phone number, address, website, and consumer reviews Learn the basics of Aetna’s process for disputes and appeals and get valuable information to guide you through it. Learn more about how to get in contact with Aetna Better Health of Texas. Things to remember 1. com Aetna's systems, employee and their covered dependents can register for a, Inc. At your service. Medical Benefits – Claim Instructions Any person who knowingly and with intent to injure, defraud or deceive any insurance company or other person files an application for insurance or statement of claim containing any materially false information or conceals, for the purpose of misleading, information concerning any fact material thereto commits a fraudulent insurance act, which is a crime Aetna PO Box 981106 El Paso, TX 79998-1106 Submit all paper claims for covered services as soon as possible using an Aetna claims form or by using the standard CMS-1500 or UB-04 form. Mail Claims Process: Members may print Claim Forms from the above website and mail or fax to: Aetna Voluntary Plans P. This will delay the processing of the claim. THIS WILL DELAY THE PROCESSING OF THE CLAIM. Dental Benefits – Claim Instructions Any person who knowingly and with intent to injure, defraud or deceive any insurance company or other person files an application for insurance or statement of claim containing any materially false information or conceals, for the purpose of misleading, information concerning any fact material thereto commits a fraudulent insurance act, which is a crime Jan 30, 2019 · We would like to remind all providers of the correct mailing addresses and fax numbers for claims and provider appeals. ) Death Certificate of the certified Death Certificate If you need to file or submit a claim, you can either submit the claim through our secure provider portal or by mailing a claim form to us. Jun 27, 2025 · Find the Medicare forms you need to help you get started with claims reimbursements, Aetna Rx Home Delivery, filing an appeal and more Healthcare providers, meet Gravie. Find phone numbers, email, and online resources for navigating insurance plans, benefits, and provider networks, with expert guidance on filing claims and resolving issues. MEMBER CONTACT INFORMATION Medical Benefits or claims questions for Aetna Advantage IDs with eight alphanumeric characters (example: BB12345A) 1-800-435-8742 Benefits or claims questions for Aetna Advantage IDs with a “W” followed by nine numbers (example: W1234 56789) 1-866-565-1236 Email: aetssiphs@aetna. Box for paper claims and correspondence is #982967 in El Paso, TX. Find the information you need to contact Aetna, including phone numbers, address, social networks, as well as customized options for members, employers, health care providers, and insurance agents and brokers. Explore Aetna’s electronic transaction tools available to help you simplify administrative tasks, like electronic patient referrals and e-prescribing. *Note: These numbers only work for people using a TDD machine. Aetna P. SM • If you get services from providers in the Aetna® network, they’ll typically submit claims on your behalf. Aetna Better Health® of Louisiana New P. kwv vfbm cqbor qconm ghv jfnukry qmgfyq dhqvt dur mqjxk