Get Aetna Medical Benefits Request Form

For general claims inquiry: please call 1-855-221-5656 Monday - Friday, 8 a.m. -5 p.m. You may also contact this number for more information on the claims inquiry process.

For those that previously received their Form 1095-B in the mail, you can receive a copy of your Form 1095-B by going out to the Aetna Member Website in the Message Center under the Letters and Communications tab or by sending us a request at Aetna PO BOX 981206, El Paso, TX 79998-1206.

Mail to: SRC, an Aetna Company. Attn: Claim Department. PO Box 14094. Lexington, KY 40512-4094. Fax to: 1-859-455-8650. Phone: 1-888-772-9682. TO BE COMPLETED BY EMPLOYEE. TO BE COMPLETED BY DENTIST.

A health insurance claim is when you request reimbursement or direct payment for medical services that you have already obtained. The way to obtain benefits or payment is by submitting a claim via a specific form or request. There are two ways to submit your health insurance claim.

Submitting your claims electronically is quick, convenient and easy. Choose the option that works best for you.

Submitting your claims electronically is quick, convenient and easy. Choose the option that works best for you.

Submitting your claims electronically is quick, convenient and easy. Choose the option that works best for you.

Here's how to request waivers of the timely filing policy Most providers have 120 days from the date of service to file a claim.

Mail to: SRC, an Aetna Company. Attn: Claim Department. PO Box 14094. Lexington, KY 40512-4094. Fax to: 1-859-455-8650. Phone: 1-888-772-9682. TO BE COMPLETED BY EMPLOYEE. TO BE COMPLETED BY DENTIST.

Open the aetna eap forms for providers and follow the instructions. Easily sign the aetna eap forms with your finger. Send filled & signed aetna eap provider billing forms or save.