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.
Subrogation For Aetna In Queens
Category:
State:
Multi-State
County:
Queens
Control #:
US-000279
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Word;
Rich Text
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FAQ
Use the CPT Code 99404 in order to indicate the sessions is billed under EAP.
EAP claims should be submitted through Provider Express or on a CMS-1500 claim form using the standard "HJ" modifer in section 24D.
You can submit claims online or resubmissions through ConnectCenter.
You can submit a claim online through the member website at myaetnasupplemental. Or you can download a paper claim form or request one be sent to you by our customer service and mail it to: Aetna Voluntary Plans, PO Box 14079, Lexington, KY 40512-4079.
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).
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).
You must file claims within 120 days from the date you provided services, unless there's a contractual exception.
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.
More info
Find the forms and documents you need. Call our corporate contact center.They don't have access to member account info, but they can share contact options for Aetna Member Services. You'll need to fill out a claim form. You must file claims within 120 days from the date you provided services, unless there's a contractual exception. Complete items twenty-nine (29) through forty-eight (48) in full. 2. Convenient tools and guidelines to help you get paid faster. How to submit a claim. How it works: • You submit a claim to Medicare. • Medicare processes the primary liability and sends you payment and remittance.