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  • Conventry Provider Administrative Review Form

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Please complete and attach this form to all administrative reconsiderations submitted to Coventry. Reconsideration Date Section One - Member Information 1. Claim Number 2. Claim Amount 3. Date of Service 4. Member Name 5. Member Policy ID 6. Service Description 7. Select One In Pt Out Pt Office Other Section Two - Provider Information 1. Contact Name Office Manager 2. Provider Administrative Reconsideration Form Important Contact Commercial Custo.

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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, Coventry Health and Life Insurance Company and their affiliates (Aetna).

Like many insurance companies, Coventry Health and Life Insurance Company offers the following types of health plans: PPO and EPO. Explore Coventry Health and Life Insurance Company with HealthMarkets today!

Aetna acquires managed health care company Coventry Health Care for $8.7 billion. Client(s) Aetna Inc.

Coventry Health Care Inc., often referred to as Coventry, is a national health insurance company. The diversified company is dedicated to providing affordable and high-quality health insurance solutions to its customers.

Coventry Health Care TypeDefunctIndustryHealth insuranceFounded1986DefunctMay 7, 2013FateAcquired by Aetna10 more rows

Coventry and Aetna have been the same company since 2013. We're changing our name and logo, but our relationship with you and our members will stay the same. We value our local relationships, so our plan offerings and contract agreements won't be impacted by our name and logo change.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
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