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  • Aetna Form Gr 68069

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If fully itemized bills are not provided Provider s should complete this form and attach it to all bills and a completed Claim Form GR-68069 and mail them to the address on the back of the member s insurance Identification Card or Aetna Global Benefits P. Aetna Global Benefits Physician s Statement Coverage underwritten by Aetna Life Insurance Company and Aetna Life Casualty Bermuda Ltd. This form should be completed and submitted if an itemized .

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Electronic claims Submit your dental claims and encounters electronically. Payer ID numbers are 60054 for Aetna claims and 68246 for Aetna encounters.

You can call our Customer Service Center toll-free at 1-866-292-3374. We're happy to help you.

Invoice requirements and submission guidelines Invoices must be submitted to Aetna International no later than 60 days from the date of service.

After logging in to your secure member website, follow these steps: 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.

An insurance claim is a formal request to your insurance provider for reimbursement against losses covered under your insurance policy. Insurance is a financial agreement between you and your insurer.

Aetna Life Insurance Company's address is 151 Farmington Avenue Rt 21 in Hartford, CT. The Aetna Life Insurance Company phone number for claims, customer, service, and additional information is (860) 273-0123.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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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
Content Takedown Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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