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How do I appeal a Medicare denial at Aetna?
You can file your standard or expedited appeal using one of the four methods below: Online option: Appeal a denial online. Phone option: 1-866-235-5660 (TTY: 711), 7 days a week, 24 hours a day. Or, download, print, and send completed forms by fax or mail:
How long does it take to get an appeal from Aetna?
A written response will be provided by Aetna within 60 calendar days of receipt of the appeal.
How do I appeal a Medicare prescription denial?
You, your representative, or your prescriber must ask for an appeal within 65 days from the date on the initial denial notice sent by your plan. If you miss the deadline, you must give a reason for filing late. Include this information in your appeal: Your name, address, and the Medicare Number on your Medicare card.
What is the Aetna reconsideration form?
What is aetna reconsideration form? The Aetna reconsideration form is a document that allows individuals or healthcare providers to request a review or reconsideration of a denied claim or coverage determination by Aetna, a health insurance company.
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People also ask
How to appeal an Aetna insurance denial?
In either case, if you do not agree with our decision, you can ask for a second review. You have 60 days from the date that you get the appeal decision letter to let us know. You can call Member Services at the phone number listed on your member ID card, or write to us.
What is the timely filing limit for Aetna reconsideration?
Timeframes for reconsiderations and appeals. Within 180 calendar days of the initial claim decision. Within 45 business days of receiving the request, depending on the matter in question, and if review by a specialty unit is needed.
Related links
Aetna International Plan Medical Appeals Rider - HR Cornell
You must submit the Request for External Review Form to Aetna within 60 calendar days of the date you received the final claim denial letter. You also must
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