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Send aetna claim reconsideration form via email, link, or fax. You can also download it, export it or print it out.
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Click ‘Get Form’ to open the Aetna appeal form in our editor.
Begin by entering today’s date at the top of the form. This helps establish a timeline for your appeal.
Fill in the member’s ID number, plan type (Medical or Dental), and their first and last name. Ensure accuracy as this information is crucial for identification.
Provide the member's birthdate, group number (if applicable), and the provider's name along with their TIN/NPI. This section connects the appeal to the correct patient and provider.
Complete the contact information fields, including address, phone, fax, and email. This ensures Aetna can reach you regarding your appeal.
In the next section, input relevant claim details such as Claim ID Number(s) and service dates. This information is vital for Aetna’s review process.
Finally, provide a detailed explanation of your request. Use additional pages if necessary to clearly articulate your position.
Start using our platform today to streamline your Aetna appeal process for free!
If you would like to schedule a peer-to-peer or discuss Appeal information about this determination, you can do so by calling 833-459-1998 member services. The reference number for this request is .
What is the Aetna appeal filing limit?
Filing an appeal You can file an appeal within 180 days of receiving a Notice of Action. The Appeals and Grievance Manager will send an acknowledgment letter within five business days.
What is the phone number for Banner Aetna?
General Questions. If youd like more information about BannerlAetna or have a question, just call our toll-free number at 1-800-381-6789.
How do I request an appeal of an Aetna Medicare Advantage plan authorization denial?
You may also ask us for an appeal through our website at .aetnamedicare.com. Expedited appeal requests can be made by phone at 1-888-267-2637. Who may make a request: Your doctor may ask us for an appeal on your behalf.
What is the phone number for Aetna behavioral health provider?
To learn more about the Aetna Behavioral Health Member Support program, call us at 1-800-424-4660 (TTY: 711). Weve developed a spectrum of behavioral health services for our members. In doing so, we contract with licensed psychiatrists, psychologists, social workers and other masters-prepared clinicians.
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For general inquiries, reach our corporate headquarters at 1-888-US-AETNA (1-800-872-3862) (TTY: 711). There is no option for members to get information at this number.
Does Aetna deny a lot of claims?
In the same year, Medicare denied 6.85% of its claims. One year later, AMA reported that all the surveyed insurers were denying fewer claims: Aetnas denial rate was down to 1.81%, Anthem BCBS reduced its rate to 4.34%, and private insurers overall were down to 2.79%, while Medicare denied only 4% of claims.
What number is 1 800 624 0756?
Were here to help you and your Aetna Medicare Advantage plan patients. Call us at 1-800-624-0756 (TTY: 711), Monday through Friday, 8 a.m. to 5 p.m., Local time. Aetna Medicare is a PDP, HMO, PPO plan with a Medicare contract.
aetna reconsideration form
1 of 2 DOCUMENTS AETNA--STANDARD ENGINEERING
SUBSEQUENT HISTORY: [***1]. Petition for Allowance of Appeal Denied 5/9/86. PRIOR HISTORY: APPEAL FROM THE DECREE MAY 12, 1983. IN THE COURT OF COMMON PLEAS OF
FOR. FASTER, EASIER SUBMISSION OF CLAIMS, THE PROVIDER MAY CONTACT THE AETNA CLAIM PROCESSING CENTER FOR INFORMATION. REGARDING ELECTRONIC CLAIM SUBMISSIONS.
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