Aetna corrected claim form 2025

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  1. Click ‘Get Form’ to open the Aetna Corrected Claim Form in the editor.
  2. Begin by entering your provider information in the designated fields, including your name, address, and NPI number. Ensure all details are accurate to avoid processing delays.
  3. In the claim details section, specify the original claim number that needs correction. This is crucial for linking your corrected claim to the previous submission.
  4. Indicate whether you are submitting a corrected claim or a voided claim by selecting the appropriate checkbox. This helps Aetna process your request correctly.
  5. Fill out any additional required fields, such as patient information and service dates. Double-check for accuracy before proceeding.
  6. Once all sections are completed, review your entries for any errors. Use our platform’s editing tools to make necessary adjustments easily.
  7. Finally, save your completed form and submit it electronically through our platform for faster processing.

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If you opt for self service, you can fill out the CMS-1500 form electronically via a direct data entry (DDE) screen. You can receive updates and check the status of your electronic claims. Once the claim has been received and processed, you as the provider can receive payment through an Electronic Funds Transfer (EFT).
National Medicare Dentist Line: Have a question? Call the National Medicare Dentist Line at 1-800-624-0756.
Recreate the Claim In the Availity Essentials menu bar, select Claims Payments, and then select either Professional Claim or Facility Claim under Claims, depending on which type of claim you want to correct.
Resubmit a Claim. When you need to resubmit a claim, file an appeal, or send a corrected claim, use the Billing History in the patients chart to add claim resubmission information to the encounter and queue up a new claim. In the patients Billing History, select the encounter that may need a new claim.
Corrected Claim Submission: EDI Claims Corrections can be sent in an electronic format. On the CMS-1500 Form, use Corrected Claim Indicator (Medicaid Resubmission Code). Enter the frequency code 7 in the Code field and the original claim number in the Original Ref No. field.
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You must clearly write resubmission and mail it with the following: An updated copy of the claim all lines must be rebilled. A copy of the original claim (reprint or copy is acceptable) A copy of the remittance advice on which the claim was denied or incorrectly paid. A brief note describing the requested correction.

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