Treating providers are solely responsible for dental advice and treatment of members. Example Policy Number: CAA012345678. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. It is only a partial, general description of plan or program benefits and does not constitute a contract. 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. (you might need to provide some information to confirm your identity), your billing information (if the question is about a bill). Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. See Also: Health insurance policy number aetna Show details What is the policy number on an Aetna insurance card? CPT only Copyright 2020 American Medical Association. Do you want to continue? 7, 2021. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. Steps to Take if You Have a Policy Number to Find the Car Insurance Company. Your benefits plan determines coverage. The AMA is a third party beneficiary to this Agreement. This Agreement will terminate upon notice if you violate its terms. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. Members should discuss any matters related to their coverage or condition with their treating provider. Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Where can I find my Aetna number? The Dental Clinical Policy Bulletins (DCPBs) describe Aetna's current determinations of whether certain services or supplies are medically necessary, based upon a review of available clinical information. It employs more than 300 individuals focused on all aspects of student health insurance. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. CPT is a registered trademark of the American Medical Association. Treating providers are solely responsible for dental advice and treatment of members. They do not have access to member , See Also: health insurance policy number aetnaShow details, 5 hours ago The policy number usually consists of 8 to 10 digits, and is listed in the center of the card. All states except California: Aetna Dental P.O. Places to Look. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. License to use CPT for any use not authorized herein must be obtained through the American Medical Association, CPT Intellectual Property Services, 515 N. State Street, Chicago, Illinois 60610. The responsibility for the content of Aetna Precertification Code Search Tool is with Aetna and no endorsement by the AMA is intended or should be implied. Aetna's conclusion that a particular service or supply is medically necessary does not constitute a representation or warranty that this service or supply is covered (i.e., will be paid for by Aetna). You, your employees and agents are authorized to use CPT only as contained in Aetna Precertification Code Search Tool solely for your own personal use in directly participating in health care programs administered by Aetna, Inc. You acknowledge that AMA holds all copyright, trademark and other rights in CPT. All rights reserved | Email: [emailprotected], Aetna life insurance company phone number, Aetna medicare member services phone number, Where Is The Policy Number On Aetna Insurance Card, How To Find Out My Aetna Health Insurance Policy Number, Where Is Policy Number On Aetna Insurance Card, How To Find Policy Number On Health Insurance Card Aetna, Molina Health In Covered California Reviews Plans Rates, Five Reasons To Use A Business Insurance Broker, Aviva Auto Insurance Online And Multi Car Insurance Everything You Should Know, Catholic Health Care Services Of The Archdiocese Of Philadelphia Announces Name Change To Catholic Housing And Community Services, Smoke Fires Deforestation Amazon Brazil Health Impact, Al Koot To Offer Health Insurance Cover For Qatar, Annual Multi Trip Insurance How Does It Work, Aarp Medicare Advantage Provider Directory, Average Cost Of Health Insurance By State, Accendo Insurance Company Provider Phone Number, Arabian Shield Insurance For Visit Visa Extension Ksa, American General Life Insurance Company Phone Number, Affordable Healthcare Marketplace Indiana, address/zip code/email/etc. Links to various non-Aetna sites are provided for your convenience only. Go to the American Medical Association Web site. Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. A detailed view provides claim office contact information, claim handler, insured information, loss/accident information, and financial . In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. The Rx BIN number is a 6-digit number health plans use to process electronic pharmacy claims. 0002-Oxygen. 6 hours ago Contact Aetna. Members and their providers will need to consult the member's benefit plan to determine if there are any exclusions or other benefit limitations applicable to this service or supply. 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. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. There is no option for members to get information at this number. What does GRP stand for? Aetna Medical Insurance Policy Number. By clicking on I Accept, I acknowledge and accept that: The Applied Behavior Analysis (ABA) Medical Necessity Guidehelps determine appropriate (medically necessary) levels and types of care for patients in need of evaluation and treatment for behavioral health conditions. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. These plans provide coverage for you, your spouse or partner and your dependent children. CPT is a registered trademark of the American Medical Association. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. In case of a conflict between your plan documents and this information, the plan documents will govern. Aetna's conclusion that a particular service or supply is medically necessary does not constitute a representation or warranty that this service or supply is covered (i.e., will be paid for by Aetna). Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. When billing, you must use the most appropriate code as of the effective date of the submission. 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. The conclusion that a particular service or supply is medically necessary does not constitute a representation or warranty that this service or supply is covered (i.e., will be paid for by Aetna) for a particular member. 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. Please enter required fields to verify eligibility . All services deemed "never effective" are excluded from coverage. Go to the American Medical Association Web site. Aetna Medicare PO Box 981106 El Paso, TX 79998-1106 Payor ID 600542. When billing, you must use the most appropriate code as of the effective date of the submission. Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do . Date of Birth Once complete, well automatically update our records to show your validation is done. Aetna Signature Administrators List LoginAsk is here to help you access Aetna Signature Administrators List quickly and handle each specific case you encounter. Unlisted, unspecified and nonspecific codes should be avoided. New and revised codes are added to the CPBs as they are updated. You can use this number to verify coverage, request an authorization/precertification, issue referrals and submit claims. CPT is a registered trademark of the American Medical Association. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. 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). 0009-Orthopedic Casts, Braces and Splints. Members and their providers will need to consult the member's benefit plan to determine if there are any exclusions or other benefit limitations applicable to this service or supply. Supplemental retiree medical coverage. Log in or register. In addition, a member may have an opportunity for an independent external review of coverage denials based on medical necessity or regarding the experimental and investigational status when the service or supply in question for which the member is financially responsible is $500 or greater. You, your employees and agents are authorized to use CPT only as contained in Aetna Precertification Code Search Tool solely for your own personal use in directly participating in health care programs administered by Aetna, Inc. You acknowledge that AMA holds all copyright, trademark and other rights in CPT. Use the Eligibility and Benefits Inquiry transaction to get details on their 2022 plan. Provider Manuals. 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. All dental Medicare claims . 9 hours ago 1-800-US- AETNA ( 1-800-872-3862) (TTY: 711) between 8:00 AM and 6:00 PM ET. For information about: Your insurance or specific plan, contact your companys HR department or your insurance company. Report the accident. They do not have access to member Preview / Show more . (you might need to provide some information to confirm your identity), your billing information (if the question is about a bill). HMO and Medicare Advantage - 1-800-624-0756 (TTY: 711) Indemnity and PPO-based plans - 1-888-MD AETNA ( 1-888-632-3862) (TTY: 711) Voluntary plans - 1-888-772-9682 (TTY: 711) Worker's comp - 1-800-238-6288 (TTY: 711). Contact Aetna. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Under the Affordable Care Act (ACA), you must receive a Summary of Benefits and Coverage (SBC) document. Please note: SBCs with coverage effective dates of 2013 and earlier do not have supplemental materials associated with the SBC. The Plan ID is a 3-digit number that designates one plan from another for the IRS and DOL. Where to find your plan's SBC. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". 9 hours ago 1-800-US-AETNA ( 1-800-872-3862) (TTY: 711) between 8:00 AM and 6:00 PM ET. No fee schedules, basic unit, relative values or related listings are included in CPT. Call Your Agent. 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. Just enter your mobile number and well text you a link to download the Aetna Health app from the App Store or on Google Play. 1. full name (first and last name) address/zip code/email/etc. If there are any questions, then your , See Also: policy number aetna insurance cardShow details, 7 hours ago Your health insurance policy number is typically your member ID number. Each person and/or family has their own unique policy number. The AMA disclaims responsibility for any consequences or liability attributable or related to any use, nonuse or interpretation of information contained in Aetna Clinical Policy Bulletins (CPBs). Aetna DMO and PPO grievance and appeals. Aetna Medical Insurance Policy Number. The Provider Service Center helps with contracting, patient services, precertification and many other questions. Aetna Inc. 151 Farmington Avenue. Some subtypes have five tiers of coverage. Its time to verify your patients eligibility, Please be sure to add a 1 before your mobile number, ex: 19876543210, Precertification lists and CPT code search, OfficeLink Updates Newsletters Medicare Updates. This Agreement will terminate upon notice if you violate its terms. Last Published 08.01.2022. Here " ABC" is BCBS alpha prefix. Embolization of the Ovarian and Iliac Veins for Pelvic Congestion Syndrome (for Pennsylvania Only) - Community Plan Medical Policy. License to sue CPT for any use not authorized herein must be obtained through the American Medical Association, CPT Intellectual Property Services, 515 N. State Street, Chicago, Illinois 60610. To check on the status of your enrollment at Aetna, you can call 1-800 , See Also: aetna medicare member services phone numberShow details, 2 hours ago You can cancel your Aetna life insurance policy online or by phone Aetna customer service can be reached by calling 1-800-872-3862 You will need to write an Aetna termination of coverage , 5 hours ago The Plan ID is a 3-digit number that designates one plan from another for the IRS and DOL. In the event you have numerous cars, you may possibly have your entire cars recorded on a single card, or else you also may possibly have an alternative number or card to get every single motor vehicle. Make sure that eligibility details match the patients information. While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. / show more HMO Rosters/Capitation Reports & quot ; and a string digits! 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