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  • Aetna Claim Form Gr 68069

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Needed for each family member. Please tape small receipts on a full size sheet of paper. Aetna Global Benefits P.O. Box 30258 Tampa, FL 33630-3258 USA Telephone: Aetna Global Benefits 4630 Woodlands Corporate Blvd. Tampa, FL 33614 USA OR Facsimile: E-mail: +1-800-231-7729 (outside the USA, via AT&T + access) +1-813-775-0190 (direct or collect outside the USA) +1-800-475-8751 (outside the USA, via AT&T + access) +1-813-775-0625 (inside the USA) agbservice aetna.com 1. Employee Information.

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Starting January 1, 2022, we'll have a new Medicare HMO product in El Paso.

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.

Other ways to file claims You can also print and mail claims forms to Aetna Voluntary Plans, PO Box 14079, Lexington, KY 40512-4079, or Fax to 1-859-455-8650.

Use Payer ID 62118 to view claim payments and explanations of payments.

Use our electronic payer ID# 60054.

All medical bills including audio services for ASEA Health Trust participants must be submitted directly to Aetna at PO Box 981106, El Paso, TX 79998-1106. Click here for information about how to submit electronic claims.

El Paso, TX 79998-1106 Submit all paper claims for covered services as soon as possible using an Aetna claims form or by using the standard CMS-1500 or UB-04 form.

lf we deny a claim and you do not agree, you can ask for a review. This is called an appeal. There are two ways to do this: Call Member Services at the phone number on your member ID card.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232