18594558650 2025

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The document is a form for employees to request short-term disability benefits from Aetna when their absence exceeds the waiting period. It requires completion of personal and employer information, details about the claim, and an Attending Physician's Statement. The form also includes legal warnings regarding fraudulent claims and instructions for submission.

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Versions	Form popularity	Fillable & printable
2018	4.7 Satisfied (45 Votes)
2018	4.3 Satisfied (49 Votes)
2014	4.5 Satisfied (48 Votes)
2008	4 Satisfied (54 Votes)

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is the fax number for Aetna Medicare claims?

4. Or you can fax this completed form, your original receipts and itemized bills to 1-866-474-4040.

What is the fax number for 859 455 8650?

Other ways to file claims 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.

What is the fax number for Aetna Medicare appeals?

Expedited fax line: 1-724-741-4958 Print a claim denial appeal form.

What is the phone number for Aetna Medicare appeal?

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.

How to submit Aetna Medicare claims?

You can submit claims online or resubmissions through ConnectCenter. This is our free provider claims submission portal via Change Healthcare (formerly known as Emdeon or WebConnect).

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What is the fax number for 1 859 455 8650?

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.

What is the phone number for Aetna provider complaints?

Or contact our Provider Service Center (staffed 8 AM to 5 PM local time): 1-800-624-0756 (TTY: 711) for HMO-based benefit plans. 1-888-632-3862 (TTY: 711) for indemnity and PPO-based benefit plans.

What is the fax number for 8594253379?

Civil Rights Coordinator, P.O. Box 14462, Lexington, KY 40512, 1-800-648-7817, TTY: 711, Fax: 859-425-3379, CRCoordinator@aetna.com.

18594558650 2025

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What is the fax number for Aetna Medicare claims?

What is the fax number for 859 455 8650?

What is the fax number for Aetna Medicare appeals?

What is the phone number for Aetna Medicare appeal?

How to submit Aetna Medicare claims?

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What is the fax number for 1 859 455 8650?

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