Po box 981106 el paso tx 79998

Health care providers can use the Aetna dispute and appeal process if they do not agree with a claim or utilization review decision. Find dispute and appeal forms. Read our dispute process FAQs.

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Po box 981106 el paso tx 79998

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Submit a claim Link leads to secure site. To receive maximum benefits, members must choose a participating primary care dentist to coordinate their care with network providers. Since Clinical Policy Bulletins CPBs can be highly technical and are designed to be used by our professional staff in making clinical determinations in connection with coverage decisions, members should review these Bulletins with their providers so they may fully understand our policies.

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Ask us in writing to reconsider our initial decision. You must:. In the case of a post-service claim, we have 30 days from the date we receive your request to:. You or your provider must send the information within 60 days of our request. We will then decide within 30 more days.

Po box 981106 el paso tx 79998

Dec 1, Medical billing basics. Aetna has more address but usually accept all the claims whatever address you submit from the below list. Get the electronic payor id for Faster process. Box Lexington, KY 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:.

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Disclaimer of Warranties and Liabilities. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. Under certain plans, if more than one service can be used to treat a covered person's dental condition, Aetna may decide to authorize coverage only for a less costly covered service provided that certain terms are met. Aetna Dental Contact Aetna Dental. Within calendar days of the initial claim decision. In Texas by Aetna Dental Inc. Unlisted, unspecified and nonspecific codes should be avoided. 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. New and revised codes are added to the CPBs as they are updated. The discussion, analysis, conclusions and positions reflected in the Clinical Policy Bulletins CPBs , including any reference to a specific provider, product, process or service by name, trademark, manufacturer, constitute Aetna's opinion and are made without any intent to defame. Also of interest:. Aetna makes no representations and accepts no liability with respect to the content of any external information cited or relied upon in the Clinical Policy Bulletins CPBs.

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Online Commercial Provider Directory. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this product. Medicare Provider Diretory. OfficeLink updates newsletter. Members should discuss any Clinical Policy Bulletin CPB related to their coverage or condition with their treating provider. Submit a claim Link leads to secure site. Within calendar days of the initial claim decision. You, your employees and agents are authorized to use CPT only as contained in Aetna Clinical Policy Bulletins CPBs solely for your own personal use in directly participating in healthcare programs administered by Aetna, Inc. Cost estimator and fee schedules. CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to the implied warranties of merchantability and fitness for a particular purpose. Reprinted with permission. It is only a partial, general description of plan or program benefits and does not constitute a contract. Dental Providers: Register now for AetnaDental. State regulations Federal regulations. Your benefits plan determines coverage.