Aetna Health Insurance Billing Guidelines

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Claims, Payment & Reimbursement – Health …

(1 days ago) WEBAetna 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). Health benefits and health insurance plans contain exclusions and limitations. …

https://www.aetna.com/health-care-professionals/claims-payment-reimbursement.html

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Provider manual - Aetna

(1 days ago) WEBProvider manual Resources, policies and procedures at your fingertips Aetna.com 3302205-01-01 (4/24)

https://www.aetna.com/content/dam/aetna/pdfs/aetnacom/health-care-professionals/office_manual_hcp.pdf

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Welcome to your go-to guide. - Aetna

(4 days ago) WEBhttps://navinet.navimedix.com. Our dedicated Provider Service Centers — for health maintenance organization (HMO)-based and Medicare plans, 1-800-624-0756; for all …

https://www.aetna.com/document-library/healthcare-professionals/documents-forms/womens-health-manual.pdf

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Eligible Service Description Eligible CPT/HCPCS Code - Aetna …

(3 days ago) WEBHealth behavior intervention, individual 96158, 96159 Patient focused health risk assessment 96160, 96161 Caregiver health risk assessment 96161 Health behavior …

https://www.aetnamedicare.com/content/dam/aetna/pdfs/wwwaetnamedicarecomSSL/individual/2022/member/Telehealth_Services_Codes_2022.pdf

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Clinical guidelines and policy bulletins - Aetna Better Health

(5 days ago) WEBGuidelines. We’ve chosen certain clinical guidelines to help our providers get members high-quality, consistent care that uses services and resources effectively. These include …

https://www.aetnabetterhealth.com/clinical-guidelines-policy-bulletins.html

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Provider Services: 1-866-329-4701 - Aetna Better …

(7 days ago) WEBProviders can file a complaint with Aetna by calling 1-866-329-4701 (TTY: 711). To file a complaint in writing, providers can submit via, fax, email or postal mail to: Aetna Better …

https://www.aetnabetterhealth.com/content/dam/aetna/medicaid/illinois/providers/pdf/Aetna%20Better%20Health%20of%20Illinois%20Provider%20Manual.pdf

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Frequently Asked Questions for Members Aetna Medicare

(Just Now) WEBAetna® and CVS Caremark® Mail Service Pharmacy are part of the CVS Health® family of companies. Get answers to some of the most frequently asked questions by Aetna …

https://www.aetnamedicare.com/en/for-members/member-faq.html

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Pay Your Medicare Premiums Aetna Medicare

(Just Now) WEBPay your premium. Choose from safe and convenient payment options. You can make a one-time payment or set up recurring monthly payments. If your Aetna ® Medicare plan …

https://www.aetnamedicare.com/en/for-members/pay-medicare-premium.html

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Aetna Better Health® Kids (CHIP) Billing and Claims Quick …

(3 days ago) WEBQuick Reference Guide. Appeals Complaints Grievances & Appeals. PO Box 81040 5801 Postal Road Cleveland, OH 4418 Email: PAMedicaidAppeals&[email protected]

https://www.aetnabetterhealth.com/content/dam/aetna/medicaid/pennsylvania/provider/pdf/Billing%20and%20Claims%20Quick%20Reference%20Guide_4.pdf

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Clinical and payment policies - Aetna Better Health

(2 days ago) WEBClinical policies. We use clinical policies to help administer health plan benefits, either with prior authorization or payment rules. These policies include, but aren’t limited to, …

https://www.aetnabetterhealth.com/illinois-medicaid/providers/clinical-payment-policies.html

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Provider Timely Submission Guide - Aetna Better Health

(2 days ago) WEBWe’re pleased to provide you with this quick guide to help expedite billing and payment for services submitted on UB-04 or CMS-1500 forms. Timely filing with correct codes …

https://www.aetnabetterhealth.com/content/dam/aetna/medicaid/pennsylvania/provider/pdf/provider-timely-submission-guide-16-03-21.pdf

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View Medicare Coverage & Benefits Aetna Medicare

(2 days ago) WEBYou can find your Evidence of Coverage (EOC), Summary of Benefits, Star Ratings, Formulary — Prescription Drug Coverage, Over-the-counter (OTC) benefit catalog, and …

https://www.aetnamedicare.com/en/for-members/view-coverage-benefits.html

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Aetna Telehealth Billing for Therapy and Mental Health Providers

(8 days ago) WEBLike with all major insurance companies, Aetna requires mental health providers to utilize their normal range of CPT codes. Common CPT codes for Telehealth can be found at …

https://therathink.com/aetna-telehealth-billing/

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Physical Therapy Billing for Aetna Health Insurance

(8 days ago) WEBUnderstanding Aetna Health Insurance for Physical Therapy Billing. As a physical therapist, understanding the intricacies of health insurance billing is a crucial part of …

https://www.choosept1st.com/articles/physical-therapy-billing-for-aetna-health-insurance

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Aetna to stop paying for consultation codes AAFP

(3 days ago) WEBIf you have any questions regarding this new policy, you can contact Aetna customer service (800-624-0756 for HMO and Medicare Advantage plans and 888-632-3862 for …

https://www.aafp.org/pubs/fpm/blogs/gettingpaid/entry/aetna_consultation_codes.html

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1129658 Provider Manual 2022 June 9-13 FNL hires - Aetna

(1 days ago) WEBClaims and billing..22 Member billing 22 Billing members for noncovered services — Aetna Women's Health Program 39 Member resources Clinical practice guidelines …

https://www.aetna.com/content/dam/aetna/pdfs/aetnacom/health-care-professionals/office-manual-hcp.pdf

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Outpatient Surgical Procedures Policy for Providers Aetna

(3 days ago) WEBSite of service for outpatient surgical procedures policy. Our precertification program is aimed at minimizing members’ out-of-pocket costs and improving overall cost …

https://www.aetna.com/health-care-professionals/outpatient-surgical-procedures.html

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Surprise Medical Billing & Cost Tips & Support - Aetna

(4 days ago) WEBYour first step to avoid a surprise bill is to understand your plan coverage and costs. But even if you feel you followed your plan’s guidance, you may still receive a bill with …

https://www.aetna.com/individuals-families/surprise-billing-resources.html

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Contact Member Services – Member Help Aetna Medicare

(1 days ago) WEBAetna’s mailing address: Aetna Inc. P.O. Box 14088. Lexington, KY 40512. Aetna Medicare members, contact us with questions about your Medicare plan.

https://www.aetnamedicare.com/en/contact-member-services.html

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Aetna Supervisory Billing - Mastering Insurance

(7 days ago) WEBAetna’s policy on Billing as Supervisor (a summary): the full policy in rather brief but is listed here: Aetna Supervisory Billing for Behavioral Health. Aetna allows supervisory …

https://masteringinsurance.com/aetna-supervisory-billing/

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Health Product & Service Discounts for Aetna Members

(7 days ago) WEBNo matter your health goal, we’re here to help you get there with discounts on health coaching, mental health support, medical supplies and more. Aetna Fitness Discounts. …

https://www.aetna.com/individuals-families/health-insurance-through-work/discounts.html

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What the two-midnight rule means for Medicare Advantage …

(3 days ago) WEBJim Rechtin to succeed Bruce Broussard as Humana CEO July 1. Medicare Advantage insurers must pay for an inpatient stay if admitting clinicians anticipate patients will …

https://www.modernhealthcare.com/insurance/two-midnight-rule-medicare-advantage-cms

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Individual & Family Health Insurance Plans & Coverage Aetna

(7 days ago) WEBIn Maryland, by Aetna Health Inc., 151 Farmington Avenue, Hartford, CT 06156. DMO dental benefits and dental insurance plans are underwritten by Aetna Dental Inc., …

https://www.aetna.com/individuals-families.html

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UCHealth patient gets $1,800 bill for earwax removal 9news.com

(2 days ago) WEB15-minute procedure to remove earwax results in $1,800 bill. 9NEWS Investigates sent the details to three medical billing experts. All three agreed the bill was absurd. Author: …

https://www.9news.com/article/news/health/1800-bill-for-procedure-to-remove-earwax/73-d02e8b24-4475-478f-a4e5-5ed31ab798c7

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Medicare Supplement Plans (Medigap) Aetna Medicare

(4 days ago) WEBCall us. Talk to a licensed agent at 1-800-358-8749. (TTY: 711) Monday to Friday, 8 AM to 8 PM ET. Medicare provides you with coverage for health-related expenses, but it …

https://www.aetnamedicare.com/en/compare-plans-enroll/medicare-supplement-plans.html

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