Aetna credentialing appeal form 2025

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You can also print and mail claims forms to Aetna Voluntary Plans, PO Box 14079, Lexington, KY 40512- 4079, or Fax to 1-859-455-8650. Claims forms are available for download from the bottom of the screen when you access the member portal or call Member Services and they will send you a form.
You have 180 days from the date of the initial decision to submit a dispute. However, you may have more time if state regulations or your organizational provider contract allows more time. To facilitate the handling of an issue, you should: State the reasons you disagree with our decision.
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.
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.
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