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What is Aetna 60054?

Electronic claims Payer ID numbers are 60054 for Aetna claims and 68246 for Aetna encounters. Learn more about electronic claim submission. Read electronic claim submission FAQs.

Does Cigna have a missing tooth clause?

The Tooth Missing But Not Replaced rule applies to initial dentures, fixed and removable bridgework, and dental implants that replace teeth missing, lost or extracted before the effective date of coverage. Services subject to the Tooth Missing But Not Replaced rule may not be covered by your Cigna Dental plan.

Is a missing tooth a pre-existing condition?

The missing tooth clause in dental insurance policies states that the insurance company will not cover the replacement of any missing tooth or teeth that occurred prior to the start date of the policy. In other words, if you currently have a missing tooth, that missing tooth is a pre-existing condition.

Can you submit claims electronically to Aetna?

You can submit claims online or resubmissions through ConnectCenter.

Does Aetna Dental have a missing tooth clause?

Are there any restrictions in replacing my missing teeth? If the teeth were lost or extracted before your coverage began, then services to replace them may not be covered by your plan. This applies to first-time dentures, fixed or removable bridges, and implants.

aetna fitness reimbursement 2024

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How do I appeal my Aetna claim denial?

To help us resolve the dispute, well need: A completed copy of the appropriate form. The reasons why you disagree with our decision. A copy of the denial letter or Explanation of Benefits letter. The original claim. Documents that support your position (for example, medical records and office notes)

Does Guardian dental have a missing tooth clause?

Some services such as sealants may be excluded after a patient docHubes a set age limit. If your Guardian PPO Dental insurance contains a missing tooth clause, any tooth that was lost before the insurance coverage start date would not be covered.

What is the missing tooth clause in dental insurance?

What is the missing tooth clause in dental insurance? The missing tooth clause is a clause in the dental insurance plan that will not cover any dental treatment that replaces a tooth that was extracted or missing prior to the date the insurance coverage started.

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