Medicare Blog

where to send aetna coventry medicare dental claim

by Dr. Norwood Jenkins Published 2 years ago Updated 1 year ago
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Aetna Address for submitting Dental Claims PO Box 14094 Lexington, KY 40512-4094 Aetna Provider Phone Number for below plans - 800-624-0756

Full Answer

Where do I send Aetna dental insurance claims?

You should: Review the Electronic Claim Vendor List Electronic Claim Vendor List. You can also submit paper claims. Claim FAQ. While we encourage you to submit all claims electronically, if you need to submit a paper claim, Review our paper claim Tips. Link to PDF. Print dental claim form (English) Link to PDF. Print dental claim form (Spanish)

How do I contact the crcoordinator at Aetna?

For your convenience, we have a single post office box for claims and specialty authorization submissions. The Aetna Grievance and Appeals Unit also has one box for all states except California, which has a separate box. All claims and specialist authorizations Aetna Dental P.O. Box 14094 Lexington, KY 40512-4094 All dental Medicare claims

Where is Aetna dental encounters located?

Mail to: Aetna Dental PO Box 14094 Lexington, KY 40512-4094 TO BE COMPLETED BY EMPLOYEE – USE BLACK INK ONLY 1. Employer's Name 2. Policy/Group Number 3. Employee's Aetna ID Number 4. Employee's Name 5. Employee's Birthdate (MM/DD/YYYY) 6. Active Retired Date of Retirement 7. Employee's Address (include ZIP Code) Address is new 8.

What can I do as a former Coventry Medicare member?

Aetna Dental works with ClaimConnect TM offered by EDI Health Group (EHG) to provide easy access to check patient eligibility, file a claim, check claim ... interpretation or application of any information or other material provided by EDI Health Group (EHG). Aetna Inc. and its subsidiary companies do not endorse any of the products or services ...

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How do I submit a reimbursement to Aetna?

After logging in to your secure member website, follow these steps:Click "Claims Center," then "Submit claims"Complete your claim online.Copy, scan and upload your supporting documents, including itemized bills, original receipts.Click "submit claim" to complete the process.More items...

Can you submit an Aetna claim online?

Claims. Providers can file claims with Aetna Better Health ® of California online or through the mail. Aetna Better Health of California works to streamline processing. And improve payment turnaround time, so you can save time and effort.

How do I send a fax to Aetna?

Fax: 866-847-4039 Please mail all enrollment forms to above address and indicate the type of plan on the envelope.

What is the payer ID for Aetna?

60054Payer ID numbers are 60054 for Aetna claims and 68246 for Aetna encounters.

How do I submit a claim through availity?

How to access and use Availity's Claim Submission tool:Log in to Availity.Select Claims & Payents from the navigation menu.Select Professional Claim or Facility Claim.Within the tool, select your Organization, Transaction Type and Payer.Complete the required fields.

What is Aetna headquarters address?

Hartford, CTAetna / Headquarters

What type of insurance is Aetna Medicare?

Aetna Medicare is a HMO, PPO plan with a Medicare contract. Our SNPs also have contracts with State Medicaid programs. Enrollment in our plans depends on contract renewal. Plan features and availability may vary by service area.

Where is EOBS availity on Aetna?

Register for our Availity provider portal. * Get identical copies of your EOB statements from the Availity Remittance Viewer. Then print or save them to your computer. You won't need to wait for them to arrive in the mail.

How do I submit a Superbill to insurance?

The simplest way is to simply send your superbill along with an EOB directly from the provider's document portal on their website. However, it depends on your insurance company and their submission process. Some companies prefer that you mail the superbill, while others prefer that you fax or upload it.

What is timely filing for Aetna?

We require providers to submit claims within 180 days from the date of service unless otherwise specified within the provider contract.

Are meritain and Aetna the same?

Meritain Health, an independent subsidiary of Aetna, is one of the nation's largest administrators of health benefits. Meritain offers the resources of a national carrier combined with unmatched flexibility and plan options.

What is a medical claim?

Simply put, a claim is what a doctor submits to your insurance company so they can get paid. It shows the medical services that were provided to you. Submitting a Claim Yourself. Typically, your doctor or provider, especially if they're in your plan, will submit the claim for you.

How to submit a claim

Submitting your claims electronically is quick, convenient and easy. Choose the option that works best for you.

Tools that save you time and money

Receive payments directly to your account. And review claims payment information online any time.

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).

What is Aetna Dental?

Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies (A etna ). Dental benefits and dental insurance plans are underwritten by Aetna Dental Inc., Aetna Dental of California Inc., and Aetna Health Inc. and/or Aetna Life Insurance Company (Aetna).

Is DNO an HMO?

DNO in Virginia is not an HMO. To receive maximum benefits, members must choose a participating primary care dentist to coordinate their care with network providers. Dental PPO insurance plans are underwritten and/or administered by Aetna Life Insurance Company.

Who is Caremark for Aetna?

Aetna has selected Caremark as the prescription management and mail delivery service for our members. If you do not intend to leave our site, close this message.

What is the phone number for a prescription drug?

Prescription drug services: Email us or call 1-800-847-3995 (TTY: 711), seven days a week, 24 hours a day. Mental health & substance abuse care: Email us or call 1-800-221-5487 (TTY: 711), Monday to Friday, 8 AM to 8 PM, or 24 hours a day for emergencies. All other questions:

How to contact Louisiana drug service?

For Louisiana members. Prescription drug services: Email us or call 1-844-741-8423 (TTY: 711) , seven days a week, 24 hours a day. Mental health & substance abuse care: Email us or call 1-800-336-2030 (TTY: 711), seven days a week, 24 hours a day. All other questions:

Does Aetna use InstaMed?

Aetna handles premium payments through InstaMed, a trusted payment service. Your InstaMed log-in may be different from your Caremark.com secure member site log-in.

Does Aetna use Payer Express?

Aetna handles premium payments through Payer Express, a trusted payment service. Your Payer Express log-in may be different from your Aetna secure member site log-in.

What to do if you were billed by a pharmacy for a covered prescription?

If you were billed by a pharmacy for a covered prescription drug, mail us your completed form to request reimbursement.

Can you share your treatment information with Aetna?

If you receive care at a VA center, privacy laws mean you must let the VA know that it’s OK to share your treatment information with Aetna. Please fill out and return this form so that we can better coordinate our outreach. This helps us make sure you get the care you need and don’t get unnecessary communications.

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