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Aetna Signature Administrators is the brand name for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna).
What is a qualified health plan (QHP)? QHP means that the plan meets certain requirements under the Affordable Care Act. It also means the plan is certified by the Centers for Medicare and Medicaid Services (CMS).
Update: Previously set to take effect on September 1, 2017, Aetna has changed the effective date in which they will no longer accept pass-through billing for most lab charges from a facility or a non-facility provider. The effective date will now be October 1, 2017.
Medicare Advantage members may be eligible for telemedicine services in ance with CMS regulations. We follow CMS policy.
The CPT codes for the annual physical exam are 99381-99397, 99401-99404, 99201-99205 and 99211-99215 with primary diagnosis of preventive.
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For all other states, health benefits plans are offered and/or underwritten by Aetna Health Inc. and/or Aetna Health of California Inc. In Utah and Wyoming by Aetna Health of Utah Inc.
Evaluations billed with G2082 and G2083 CPT codes* G2082 and G2083 include the evaluation with the administered drug. Aetna will no longer reimburse CPT codes 9921299215 or 9941599417 when billed with code G2082 or G2083 on the same date of service by the same provider. Modifier 25 will not override this edit.
Mutually Exclusive Edits: Mutually Exclusive NCCI edits prevent separate reimbursement for procedures that could not be performed at the same patient encounter because the two procedures were mutually exclusive based on anatomic, temporal, or gender considerations.

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