Aetna Health Insurance Billing Guidelines

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Claims, Payment & Reimbursement – Health Care Professionals

(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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Telemedicine and Direct Patient Contact Payment Policy …

(4 days ago) WebPolicy Revision Date Overview This policy addresses our guidelines regarding payment for telehealth, telemedicine, direct patient contact, care plan oversight, concierge …

https://www.aetna.com/content/dam/aetna/pdfs/aetnacom/pdf/telemedicine.pdf

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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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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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Claims / Billing Education - Aetna Better Health

(5 days ago) WebProviders in the state of Tennessee Holly Smith Network Relations Manager 815-641-7411 [email protected]. Becky Marcum Network Relations Manager (606) 350-0579 …

https://www.aetnabetterhealth.com/content/dam/aetna/medicaid/kentucky/providers/pdfs/Aetna-575%20Provider%20Billing%20Claims%20Education%20-%202021%20Volume%20II.pdf

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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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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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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, evolving …

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

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

(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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Provider Manual - Aetna Better Health

(8 days ago) WebAbout Aetna Better Health . For 30 years, Aetna Medicaid has honed our approach to serving high-acuity, medically frail, and low-income populations with diverse benefits. In …

https://www.aetnabetterhealth.com/content/dam/aetna/medicaid/virginia/provider/pdf/abhva_provider_manual.pdf

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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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Aetna Member Log-in

(3 days ago) WebAetna Health members, log-in securely to your account to access all of your health and benefits information, or get your user name and/or password if you've forgotten it. First …

https://member.aetna.com/secure/member/?v95

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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 …

https://www.aafp.org/pubs/fpm/blogs/gettingpaid/entry/aetna_consultation_codes.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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Michigan Medicaid Plans Aetna Medicaid Michigan - Aetna …

(3 days ago) WebAbout us. Aetna Better Health of Michigan is part of Aetna® and the CVS Health® family, one of our country’s leading health care organizations. We’ve been serving people who …

https://www.aetnabetterhealth.com/michigan/index.html

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Payer-Specific Policies, Guidelines, and Fee Schedules AAN

(2 days ago) WebPayer-specific Policies. Review major insurance providers' policies, guidelines, and fee schedules to ease your billing process and receive correct and timely reimbursement. …

https://www.aan.com/practice/payer-specific-policies

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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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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., Aetna …

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

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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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Gene, Cellular & Innovative Therapy (GCIT) Coverage Aetna

(5 days ago) WebThe right coverage matters. Our Gene-Based, Cellular and Other Innovative Therapies (GCIT®) program offers an integrated approach to the access, coordination and cost …

https://www.aetna.com/employers-organizations/gene-and-cellular-therapy-coverage.html

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Telehealth Benefits Aetna Medicare

(Just Now) WebWith telehealth – or telemedicine – you can get virtual care by phone, video or mobile app, anywhere you are, including after hours or on the weekend. Covered …

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

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Aetna Medicare Advantage 2024 Review - NerdWallet

(Just Now) WebFor comparison, the average star rating for plans from all providers for 2024 is 4.04. Of Aetna members who are in contracts with a Medicare star rating, 87% are in …

https://www.nerdwallet.com/p/reviews/insurance/medicare/aetna-medicare-advantage

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

(2 days ago) WebPatient gets $1,800 bill for 15-minute procedure to remove earwax. 9NEWS Investigates sent the details to three medical billing experts. All three agreed the bill was …

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

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How a CMS policy update could affect Medicare Advantage finances

(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 …

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

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r/HealthInsurance on Reddit: Have not received my insurance

(3 days ago) WebReceived $162 worth of dental services back in February of this year, where I paid the cost with a credit card that same day. I had some issues with receiving my refund from my …

https://www.reddit.com/r/HealthInsurance/comments/1ct0ybn/have_not_received_my_insurance_reimbursement/

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