What is the Aetna behavioral health site?
Behavioral health medical directors make all final coverage* denial determinations involving clinical issues. If a treating provider doesn’t agree with a decision about coverage or wants to discuss an individual member’s case, Aetna Behavioral Health staff are available 24 hours a day, 7 days a week. Behavioral health care providers
How do I contact Aetna better health?
You can’t use the form with Traditional Choice/Indemnity plans. When you’re done Once you’ve filled out the form, submit it and all requested supportive documentation to our Autism Care Team. You can send it via confidential fax to 1-860-607-7406 or email at [email protected] What happens next?
Does Aetna cover mental health services?
Aetna Behavioral Health refers to an internal business unit of Aetna. The EAP is administered by Resources For Living, LLC. Health benefits and health insurance plans contain exclusions and limitations. Providers are independent contractors and are not agents of Aetna. Provider participation may change without notice.
Does Aetna behavioral health offer telemedicine?
Dec 01, 2009 · Payer – Aetna Attachment Fax Number – 859-455-8650 Attachment Mailing Address – PO Box 981106 El Paso, TX 79998-1106 Appeals Fax Number – 859-455-8650 Appeals Mailing Address – Provider Resolution Team PO Box 14020 Lexington, KY 40512 We are expecting an increase in membership for our Medicare Advantage (MA) preferred provider …
Can you fax claims to Aetna?
You can also submit a claim by traditional mail, email or secure fax. Mailing addresses and fax numbers are included on your form for your convenience. Don't forget to make copies of everything you mail for your own records.
Does Aetna have an email?
Just log in to your member account to send us an email or chat online. You can also call us at the number on your ID card for personal service. Don't have an account?
Does Aetna commercial follow CMS guidelines?
Providers are required to comply with CMS coding and billing requirements. For a provider who treats commercial or Medicaid members, we will pay for covered services in accordance with the member's health plan benefits and applicable laws and regulations.
What is timely filing for Aetna?
We require providers to submit claims within 180 days from the date of service unless otherwise specified within the provider contract.Mar 17, 2016
Does CVS own Aetna?
CVS completes its acquisition of Aetna.Sep 4, 2019
How do I talk to a person at Aetna?
Call us. 1-800-US-AETNA (1-800-872-3862) (TTY: 711) between 8:00 AM and 6:00 PM ET.
Can you submit an Aetna claim online?
Providers can file claims with Aetna Better Health ® of California online or through the mail. Aetna Better Health of California works to streamline processing. And improve payment turnaround time, so you can save time and effort.
Does Aetna require modifiers?
Providers must use modifier 25 to describe circumstances in which an acute care E/M visit was provided at the same time as a checkup. Providers must submit modifier 25 with the E/M procedure code when the rendered services are distinct and provided for a different diagnosis.Jul 5, 2020
How does Aetna want bilateral procedures billed?
Bilateral surgical and nonsurgical procedures are reported as a single code billed (1) with modifier 50, (2) twice on the same day with RT and LT modifiers, or (3) with 2 units. For Medicare plans, Aetna pays 150% of the fee schedule amount for a bilateral surgical procedure.Apr 8, 2014
What is Medicare timely filing Aetna?
Filing a claim for payment covered service within the same time frame you would have to submit under Original Medicare, which is within 15-27 months from the date of service. Failure to be timely with claim submissions may result in non-payment.
How far back can I bill Aetna?
18 months. In situations where a claim was denied for not being filed timely, the provider has 180 calendar days from the date the denial was received from another carrier as long as the claim was submitted within 180 calendar days of the date of service to the other carrier.
What is AARP timely filing limit?
Timely Filing Limits for all Insurances updated (2022)Insurances name listTimely Filing Limit for all Insurances 2022AARP15 Months from date of serviceAdvantage Care6 Months from date of serviceAdvantage Freedom2 Years from date of serviceAetna timely filing120 Days from date of service65 more rows
What is Aetna insurance?
Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies, including Aetna Life Insurance Company and its affiliates (Aetna).
How much does mental health cost?
Mental health has a powerful impact on the workplace, including a $300 billion cost to employers for stress-related health care and missed work. 1 See how we’re transforming the system.
What is the MindCheck tool?
The MindCheck ® tool asks 4 quick questions to help members gauge their emotions, identify triggers and avoid stress. So they can check into their well-being today and improve it over time.
What is a complete application?
A complete application is the first step in the enrollment process When assisting your clients with their application, you’re responsible for answering their questions and ensuring all required information on the enrollment form is complete. If an application is submitted without all of the required information, this will cause a processing delay
What is grievance in pharmacy?
A grievance is a type of complaint you make about us or one of our network providers or pharmacies, including a complaint concerning the quality of your care. This type of complaint does not involve coverage or payment determinations.
Does Aetna accept all claims?
Aetna has more address but usually accept all the claims whatever address you submit from the below list . Get the electronic payor id for Faster process. #60054 would be the payor id for most of the clearing house however double confirm the same with your clearing house.
Does Aetna pay for Medicare?
Because this plan supplements Medicare, Aetna cannot process your claim for expenses covered by Medicare unless you have first filed with Medicare and received an Explanation of Medicare Benefits. In order to file a claim: • Submit a separate claim form for each eligible family member.
What is Aetna insurance?
Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna).
How to get a therapist?
Some things you can expect: 1 A therapy session can be one-on-one, in a group or with a family. 2 A psychiatrist, psychologist or counselor leads the session. They’ll ask questions, listen to you and explore options available to you. 3 Sessions can be face to face in your provider’s office, or through televideo.
What is the best treatment for mental health?
Behavioral therapy. This therapy, also known as talk therapy, is one of the main ways to treat a mental health condition. It can help you find issues that are causing problems, manage those issues and move beyond them.
What to expect in a therapy session?
Some things you can expect: A therapy session can be one-on-one, in a group or with a family. A psychiatrist, psychologist or counselor leads the session. They’ll ask questions, listen to you and explore options available to you. Sessions can be face to face in your provider’s office, or through televideo.
Is health information accurate?
Health information programs provide general health information and are not a substitute for diagnosis or treatment by a physician or other health care professional. Information is believed to be accurate as of the production date; however, it is subject to change.
What is Aetna insurance?
Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). Health benefits and health insurance plans contain exclusions and limitations. See all legal notices.
Is Aetna responsible for the content of linked sites?
Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites. Continue. You are now being directed to the US Department of Health and Human Services site.
Is Aetna a part of CVS?
and its subsidiary companies are not responsible or liable for the content, accuracy or privacy practices of linked sites, or for products or services described on these sites. Aetna is proud to be part of the CV S Health family . You are now being directed to the CVS Health site.
What is TMS treatment?
Using TMS Treatment for OCD and Depression. One type of procedure that is becoming increasingly popular among Aetna members is transcranial magnetic stimulation. Called TMS for short, this is an entirely pain-free and non-invasive treatment. During TMS sessions, magnetic pulses are sent through the brain.
Can TMS help with depression?
Obsessive compulsive disorder. Research has shown that TMS can be especially useful for cases of depression and OCD that are not responding well to medication. Regular TMS sessions are shown to diminish symptoms without resulting in any severe side effects.
Does Aetna cover coinsurance?
Typically, you have to pay at least some of the cost for mental health care until you reach the deductible for your plan. Once all of your healthcare costs for the year reach the deductible amount, Aetna will cover the rest of your care .
Does Aetna pay out of pocket?
Furthermore, Aetna has special deals with many healthcare providers, so your out-of-pocket costs per visit is still less than an uninsured person would pay. Since costs vary so much depending on what plan you have, it is important to go over your plan carefully.
Does Aetna cover emergency care?
If you need to seek emergency care because you feel you are a danger to yourself or others, you do not need to stop and get Aetna’s permission beforehand. They will still cover emergency treatment even if you do not get it authorized in advance.
Does Aetna cover mental health?
Aetna will cover your treatment with a therapist who can learn more about your challenges and recommend further treatments. Your doctor may also recommend various medications that your insurance for mental health treatment will also usually cover. In addition to standard therapy and medication, Aetna will also cover some alternative treatments ...
Does Aetna cover depression?
In addition to standard therapy and medication, Aetna will also cover some alternative treatments and other helpful procedures. To be covered by Aetna, a depression or other mental health treatment usually needs to be prescribed by your physician. Furthermore, it also needs to be clinically proven to be effective.
What is the International Mobile Assistant app?
Submit and manage your claims wherever you go through our International Mobile Assistant, a free application that puts the most important features of your secure member website at your fingertips. This app is one of several tools that help you stay connected to the information and updated resources you need.
How to submit a claim to the IRS?
Click "Claims Center," then "Submit claims". Complete your claim online. Copy, scan and upload your supporting documents, including itemized bills, original receipts. Click "submit claim" to complete the process. After you submit your completed claim form, you will receive a notification by e-mail to confirm that it has been submitted successfully.
How long does it take to submit a claim?
Remember: Original receipts should be kept on file in case they are needed for verification purposes. We recommend you submit claims within 180 days, however, please refer to your plan documents or contact Member Services to confirm your plan's exact requirements.