Aetna corrected claim form 2025

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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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