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Health Insurance Plans Aetna
Details: Aetna offers health insurance, as well as dental, vision and other plans, to meet the needs of individuals and families, employers, health care providers and insurance agents/brokers. The path to healthy starts here.
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› Url: http://www.aetna.com/ Go Now
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Aetna Health App
Details: The Aetna Health app is an intuitive and easy-to-use way to manage your health benefits and connect with care. With personalized real-time information, tools, and guidance, you can manage your health care where, when, and how you want.
› Verified 7 days ago
› Url: https://www.aetna.com/individuals-families/using-your-aetna-benefits/aetna-mobile/health-app.html Go Now
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Resources for Current Aetna Network Members
Details: As a member of the Aetna Network, we make it easier for health care providers to do what they love - focus on the health, well-being, and safety of their patients. Here are some resources for existing members that make that possible, so that we can build a healthier world together.
› Verified 7 days ago
› Url: https://www.aetna.com/health-care-professionals/welcometoaetna.html Go Now
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Aetna Medicare card
Details: 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).
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› Url: https://www.aetna.com/health-care-professionals/newsletters-news/office-link-updates-december-2021/state-specific-pa-december-2021/aetna-medicare-card.html Go Now
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Availity Provider Portal Login Aetna
Details: The Aetna provider portal on Availity helps you spend less time on administration so you can focus more on patient care. You get a one-stop portal to quickly perform key functions you do every day. You can: Submit claims. Get authorizations and referrals. Check patient benefits and eligibility. Upload medical records and supporting documentation.
› Verified 7 days ago
› Url: https://www.aetna.com/health-care-professionals/resource-center/availity.html Go Now
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Resources & Support for Health Care Providers Aetna
Details: Health information programs provide general health information and are not a substitute for diagnosis or treatment by a physician or other health care professional. Information is believed to be accurate as of the production date; however, it is subject to change. Health benefits and health insurance plans contain exclusions and limitations.
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› Url: https://www.aetna.com/health-care-professionals.html Go Now
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Verify Medicare member eligibility
Details: You are now being directed to the CVS Health COVID-19 testing site Links to various non-Aetna sites are provided for your convenience only. 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.
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› Url: https://www.aetna.com/health-care-professionals/newsletters-news/office-link-updates-september-2021/medicare-updates-september-2021/verify-medicare-member-eligibility.html Go Now
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Quality when it counts most – Institutes of Excellence
Details: Health –University Hospital. 550 North University Boulevard Indianapolis, IN 46202 (317) 274-8300. Bone Marrow Transplant - Allo Bone Marrow Transplant - Auto Kidney Liver Pancreas Pancreas after Kidney Simultaneous Pancreas Kidney. St. Vincent Hospital & Health Care. 2001 West 86th Street Indianapolis, IN 46260 (317) 338-2345. Heart Kidney. IOWA
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› Url: https://www.aetna.com/document-library/health-care-professionals/IOE-medicare-directory.pdf Go Now
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We’re going paperless! Here’s how to get electronic EOBs
Details: You are now being directed to the CVS Health COVID-19 testing site Links to various non-Aetna sites are provided for your convenience only. 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.
› Verified 7 days ago
› Url: https://www.aetna.com/health-care-professionals/newsletters-news/office-link-updates-september-2021/news-for-you-september-2021/were-going-paperles-here-how-to-get-electronic-eobs-and-payments.html Go Now
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Participating Urgent Care Clinics
Details: Health benefits and health insurance plans contain exclusions and limitations. Providers are independent contractors and are not agents of Aetna. Provider participation may change without notice. Aetna does not provide care or guarantee access to health services. Information is believed to be accurate as of the production date; however, it is
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› Url: https://www.aetna.com/docfind/cms/assets/pdf/Urgent_Care.pdf Go Now
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Quality when it counts most – Institutes of Excellence
Details: Health –University Hospital. 550 North University Boulevard Indianapolis, IN 46202 (317) 274-8300. Bone Marrow Transplant - Allo Bone Marrow Transplant - Auto CAR-T Kidney Liver Pancreas Pancreas after Kidney Simultaneous Pancreas Kidney. St. Vincent Hospital & Health Care. 2001 West 86th Street Indianapolis, IN 46260 (317) 338-2345. Heart
› Verified 9 days ago
› Url: https://www.aetna.com/document-library/health-care-professionals/IOE-Medicare-Directory-11-2021.pdf Go Now
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Institutes of Quality Connecticut ORTHOPEDIC IOQ
Details: Health Center. 2121 Santa Monica Blvd Santa Monica, CA 90404 (310) 829-8365. Total Joint Replacement Designation. Saddleback Memorial Medical Center. 24451 Health Center Drive Laguna Hills, CA 92653 (949) 837-4500. Spine Designation Total Joint Replacement Designation. San Antonio Regional Hospital. 999 San Bernardino Road Upland, CA 91701 (909
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› Url: https://www.aetna.com/dsepublicContent/assets/pdf/en/ioq_medicare_orthopedic.pdf Go Now
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Health Resources & Articles Aetna
Details: Your health goals lead the way so, wherever you want your health to take you, we’ll keep finding new ways to join you. Here you'll find health resources and articles to help you achieve your health ambitions.
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› Url: https://www.aetna.com/content/aetna/en/health-guide.html/ Go Now
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Languages Spoken in New Jersey Retail Pharmacies
Details: HEALTH FIRST PHARMACY 600 Atlantic City Blvd Beachwood NJ 08722 732 818-1882 Chinese BOYDS PHCY OF BORDENTOWN 118 Farnsworth Ave Bordentown NJ 08505 609 298-1811 Chinese BRADLEY BEACH PHARMACY 128 Main St Bradley Beach NJ 07720 732 774-7174 Chinese DIRECT MEDS OF DOVER 400 W Blackwell St Dover NJ 07801 800 394-5070 Chinese
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› Url: https://www.aetna.com/docfind/cms/assets/pdf/Final_NJ_Languages.pdf Go Now
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Insurance Plans & Benefits Without Employer Coverage Aetna
Details: With a health savings account (HSA) from PayFlex, you can save for health care expenses with tax-free benefits and enjoy extra savings on eligible health care items. Once your balance reaches a certain amount, you can invest in top-ranked mutual funds rated by Morningstar®, a leading investment research firm.
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› Url: https://www.aetna.com/individuals-families/consumer-marketplace.html Go Now
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Home Hemoglobin Testing Devices
Details: In 2 health centers, patients' blood was first drawn from a fingertip skin puncture and Hb was measured with the HemoCue method. The same patients were sent to the regional laboratory for laboratory Hb determination. Agreement between the 2 Hb values was assessed using the method of Bland and Altman. Both Hb measurements were carried out in 58
› Verified 4 days ago
› Url: http://es.aetna.com/cpb/medical/data/800_899/0824.html Go Now
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How Aetna and CVS Health are delivering a new model of
Details: But with health care integration, we bring all these programs together under one umbrella. Aetna ® and CVS Health ® are offering a new model of integrated care. With over 10,000 pharmacy locations and a wide network of health care providers, we’re giving you care that is simple, affordable and community based.
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› Url: https://www.aetna.com/health-guide/integrated-health-care.html Go Now
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Member, Employer, Agent/Broker & Provider Login Aetna
Details: You are now being directed to the CVS Health COVID-19 testing site Links to various non-Aetna sites are provided for your convenience only. 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.
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› Url: https://www.aetna.com/about-us/login.html Go Now
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Home Behavioral Healthcare Services
Details: The behavioral health services provided are not primarily for the comfort or convenience of the member or custodial in nature Footnotes for Custodial care **. Footnotes for Intermittent or part-time skilled home behavioral health care * Intermittent or part-time skilled home behavioral health care is defined as a visit of up to 1 hour in duration.
› Verified 6 days ago
› Url: https://www.aetna.com/cpb/medical/data/700_799/0730.html Go Now
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Aetna One Advisor
Details: Health benefits and health insurance plans contain exclusions and limitations. Not all health services are covered. See plan documents for a complete description of benefits, exclusions, limitations and conditions of coverage. Plan features and availability may vary by location and are subject to change.
› Verified 3 days ago
› Url: https://www.aetna.com/aetna1Advisor-Leidos/index.html Go Now
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PPO Health Insurance Plans from Aetna Preferred Provider
Details: With Aetna's PPO health insurance plans, you’ll never have to choose between flexibility and savings. You get it all, from no referrals to broad networks to competitive discounts and more. Learn more about our Preferred Provider Organization plans.
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› Url: https://www.aetna.com/health-insurance-plans/ppo.html Go Now
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Men's Health Matters: Tips for Staying Healthy Aetna
Details: Men's health matters. By Aetna. Studies show men are less likely to seek medical care for a number of reasons. Some avoid care because they feel fine. Others are nervous about an exam or what it might reveal. Some men even see medical care as a sign of weakness. But staying healthy is a sign of strength.
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› Url: https://www.aetna.com/health-guide/mens-health.html Go Now
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Coordination of Benefits
Details: Other health plan phone number . Other health plan member ID number . Is the subscriber: Active . Retired . On COBRA . Patient relationship to subscriber . Date retired . 2. If the patient is your child, please provide the following: Patient’s name . Patient’s date of birth .
› Verified 9 days ago
› Url: https://www.aetna.com/document-library/healthcare-professionals/documents-forms/online-cob-form.pdf Go Now
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Health Insurance 101
Details: A health plan with a deductible and benefits that are high enough to meet the federal rules that let a plan member contribute to an HSA (see above). I Indemnity Plan (Also “Traditional Plan”) A health plan that lets members get care from any licensed …
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› Url: https://www.aetna.com/docfind/cms/assets/pdf/che/Health_Insurance_101.pdf Go Now
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Find a Medication for 2022 Aetna Health Exchange Plan
Details: In certain circumstances*, you or your prescriber can request a medical exception for a non-covered drug. To submit a request, call our Precertification Department at 1-855-582-2025 (TTY: 711), or fax a request to 1-855-330-1716. You also can mail a written request to Aetna PA, 1300 E. Campbell Rd., Richardson, TX 75081.
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› Url: https://www.aetna.com/individuals-families/find-a-medication/2022-aetna-health-exchange-plan.html Go Now
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Behavioral Health Provider Manual
Details: Behavioral health medical directors make all final coverage* denial determinations involving clinical issues. If a treating provider doesn’t agree with a decision about coverage or wants to discuss an individual member’s case, Aetna Behavioral Health staff are available 24 hours a day, 7 days a week. Behavioral health care providers
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› Url: https://www.aetna.com/document-library/healthcare-professionals/documents-forms/bh-provider-manual.pdf Go Now
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Tips to Manage Your Anxiety
Details: The information provided by Aetna® health and wellness programs is general in nature. It is not meant to replace the advice or care you get from your doctor or other health professional. If you have specific health care needs or would like more complete health information, please see your doctor or other health care provider.
› Verified 8 days ago
› Url: https://www.aetna.com/health-guide/mental-health-tips.html Go Now
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Behavioral health updates
Details: You are now being directed to the CVS Health COVID-19 testing site Links to various non-Aetna sites are provided for your convenience only. 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.
› Verified 9 days ago
› Url: https://www.aetna.com/health-care-professionals/newsletters-news/office-link-updates-december-2021/behavioral-health-updates.html Go Now
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CVS Health® and Aetna®
Details: and health journeys. We create a holistic health care experience, with the data and reach needed to care for each of them across a changing health care landscape. Results prove that we’re ahead of the curve —removing barriers, increasing savings, improving outcomes and evolving the health experience.
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› Url: https://www.aetna.com/document-library/employers-organizations/integrated_value_observational_study.pdf Go Now
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Procedures, programs and drugs that require precertification
Details: Health and Aetna Administrative Services LLC (Sutter Health | Aetna) Aetna.com . 830860 01 03 (1/22) For more information, read all general precertification guidelines • Providers may submit most precertification requests electronically through the secure
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› Url: https://www.aetna.com/content/dam/aetna/pdfs/health-care-professionals/2022-precert-list.pdf Go Now
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Federal No Surprises Act Information for Providers Aetna
Details: Health information programs provide general health information and are not a substitute for diagnosis or treatment by a physician or other health care professional. Information is believed to be accurate as of the production date; however, it is subject to change. Health benefits and health insurance plans contain exclusions and limitations.
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› Url: https://www.aetna.com/health-care-professionals/fed-no-surprises-act.html Go Now
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eviCore health care Site of Care medical necessity requirement
Details: eviCore health care Site of Care medical necessity requirement. Effective December 1, 2021, Aetna® will add a Site of Care medical necessity requirement to the Enhanced Clinical Review program for fully insured commercial members. As part of this change, advanced radiology imaging procedures (MR and CT scans) will be reviewed by eviCore
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› Url: https://www.aetna.com/health-care-professionals/newsletters-news/office-link-updates-september-2021/90-day-notices-september-2021/evicore-healthcare-site-of-care-medical-necessity-requirement.html Go Now
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Know where to go for eligibility, benefits and claims
Details: Quality health plans & benefits. Healthier living Financial well-being. Intelligent solutions. 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. Use this chart to learn more about
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› Url: https://www.aetna.com/document-library/healthcare-professionals/assets/documents/eligibility-benefits-claims-information.pdf Go Now
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Adjustment codes and coordination of benefits (COB)
Details: a Health Insurance Portability and Accountability Act (HIPAA) standard 835 electronic remittance advice (ERA), you’ll see these codes in the ERA. Just transfer them to your secondary claim. If the remittance advice was sent in another form, you’ll need to …
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› Url: https://www.aetna.com/document-library/healthcare-professionals/assets/documents/adjustment-codes-and-coordination-of-benefits.pdf Go Now
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Aetna Medicare ID Card Guide
Details: subsidiary companies, including Aetna Life Insurance Company, Coventry Health and Life Insurance Company and their affiliates (Aetna). Aetna Medicare is a PDP, HMO, PPO plan with a Medicare contract. Our SNPs also have contracts with State Medicaid programs. Enrollment in our plans depends on contract renewal.
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› Url: https://www.aetna.com/document-library/healthcare-professionals/documents-forms/id-card-office-guide.pdf Go Now
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HMO Health Insurance Plans from Aetna Health Maintenance
Details: Aetna's Health Maintenance Organization (HMO) plans offer a nice choice of providers with the comfort of guided care to help members reach their best heath, at the best costs possible. Learn more about our HMO insurance plans.
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› Url: https://www.aetna.com/health-insurance-plans/hmo.html Go Now
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Buy Affordable Care Act (ACA) Health Insurance Plans
Details: Experience a new way of care with Aetna CVS Health Affordable Care Act (ACA) individual marketplace health insurance plans. Learn more about how you get the best of both worlds with these plans: quality health coverage and expertise combined with local walk-in care options and convenient access.
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› Url: https://www.aetna.com/aca-individual.html?sp... Go Now
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Find a Medication for 2022 Aetna Health Exchange Plan
Details: Medical exceptions for non-covered drugs. Expedited medical exceptions. In certain circumstances*, you or your prescriber can request a medical exception for a non-covered drug. To submit a request, call our Precertification Department at 1-855-582-2025 (TTY: 711), or fax a request to 1-855-330-1716. You also can mail a written request to Aetna
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› Url: https://www.aetna.com/individuals-families/find-a-medication/2022-aetna-health-exchange-plan-individual.html Go Now
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Individual ACA Plan Info for Providers Aetna CVS Health
Details: With Aetna CVS Health ™ plans, members get access to a high-quality network of providers and telemedicine services. Plus — convenient, affordable care offerings at MinuteClinic ®, CVS ® HealthHUB ™ and CVS Pharmacy ® locations across the country. We’re working on bringing coverage to more locations to meet your patients’ health needs.
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› Url: https://www.aetna.com/health-care-professionals/aca-individuals.html Go Now
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Open Access Health Network Only Health maintenance
Details: Department of Health and Human Se rvices, 200 Independence Avenue SW., Room 509F, HHH Building, Washington, DC 20201, or at 1-800-368-1019, 800-537-7697 (TDD). Aetna is the brand name used for products and services provided by one or more of the Aetna group of
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› Url: https://www.aetna.com/document-library/individuals-families-health-insurance/document-library/lg-health-network-only.pdf Go Now
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Provider Facility Participation Criteria PDF
Details: 2. Home health agency’s primary location must be either accredited or Centers for Medicare & Medicaid Services (CMS) certified. If the home health agency moves the primary location, a new accreditation or CMS certification must be obtained. 3. Each additional branch must be included in the primary location’s accreditation or CMS certification.
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› Url: https://www.aetna.com/document-library/healthcare-professionals/documents-forms/provider-facility-participation-criteria.pdf Go Now
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COVID-19 Resources & Support for Aetna Providers
Details: Aetna® Resources For Living® telephone counseling services. Receive phone support for COVID-19-related trauma (PDF) if you are a frontline health care worker or an essential worker such as a grocery, pharmacy or service employee. You can also get help with basic needs such as meals, childcare, eldercare and financial matters (PDF).
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› Url: https://www.aetna.com/health-care-professionals/provider-resources.html Go Now
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ACA Individual Plan FAQs for Providers Aetna CVS Health
Details: Health plans are offered or underwritten or administered by Coventry Health Plan of Florida, Inc., Aetna Health Inc. (Georgia), Aetna Life Insurance Company, Aetna Health of Utah Inc., Aetna Health Inc. (Pennsylvania), or Aetna Health Inc. (Texas) (Aetna). Aetna ® is part of the CVS Health ® family of companies.
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› Url: https://www.aetna.com/health-care-professionals/aca-individuals/faqs.html Go Now
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so, here’s how you can appeal a denial.
Details: • Health plan name You must also submit your request in writing, signed by the initiator. Please send your written request for an appeal to: Aetna Medicare Part C Appeals PO Box 14067 Lexington, KY 40512 Please provide us with all appropriate documentation to support your appeal. For example, emittance advice from
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› Url: https://www.aetna.com/document-library/health-care-professionals/medicare-noncontracted-provider-appeal-process.pdf Go Now
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