• US Legal Forms

Subrogation For Aetna In Ohio

State:
Multi-State
Control #:
US-000279
Format:
Word; 
Rich Text
Instant download

Description

This form for use in litigation against an insurance company for bad faith breach of contract. Adapt this model form to fit your needs and specific law. Not recommended for use by non-attorney.

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  • Preview Complaint for Recovery of Monies Paid and for Declaratory Judgment as to Parties' Responsibility and Subrogation
  • Preview Complaint for Recovery of Monies Paid and for Declaratory Judgment as to Parties' Responsibility and Subrogation
  • Preview Complaint for Recovery of Monies Paid and for Declaratory Judgment as to Parties' Responsibility and Subrogation

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FAQ

Remember, Aetna and Coventry are the same company, so you and your patients may see either name or logo on the communications we send to you. We're always working to improve your experience.

Signature Advantage is a Special Needs plan that covers all the benefits of Original Medicare (Parts A and B) with prescription drug coverage (Part D). If you or your loved one is eligible, Signature Advantage may be the extra benefit you need to maintain and enhance your health and well-being.

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).

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 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.

Filing an appeal You can file an appeal within 180 days of receiving a Notice of Action. The Appeals and Grievance Manager will send an acknowledgment letter within five business days.

Timeframes for reconsiderations and appeals Dispute levelDoctor / provider submission timeline Reconsideration Within 180 calendar days of the initial claim decision. Appeals Within 60 calendar days of the previous decision.

The Aetna case started in 2012 when the carrier filed suit (1-12-CV-217943) against Northern California surgery provider Bay Area Surgical Management LLC (BASM) for allegedly conducting a widespread conspiracy to defraud the insurer via the use of out-of-network benefits.

If you've had a health treatment or disability claim denied by Aetna, it could be because: The procedure is considered cosmetic (not medically necessary) Your doctor is out of network or doesn't participate in the plan. Your plan doesn't cover your medical condition.

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Subrogation For Aetna In Ohio