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  • Oh Otc Form 2014 - Aetna Better Health

Get Oh Otc Form 2014 - Aetna Better Health

Name (Nombre) Address (Direccin) AETNA BETTER HEALTH OF OHIO Member ID ( Numero de Membresia) Phone (Telefono) Item Antacids / Digestion / Laxatives (Anticidos / Digestin / Laxantes) Qty Brand Price.

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How to fill out the OH OTC Form 2014 - Aetna Better Health online

Filling out the OH OTC Form 2014 for Aetna Better Health online allows you to easily request over-the-counter items covered by your health plan. This guide provides detailed, step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to fill out the form online effectively.

  1. Press the ‘Get Form’ button to access the form and open it in your preferred editor.
  2. Enter your name, address, telephone number, and member ID in the designated fields at the top of the form. Ensure that your shipping address matches your member record to avoid order fulfillment issues.
  3. Review the list of available items in the OTC catalog. Each item is categorized, such as antacids, dental supplies, pain relief, and first aid. Check (√) the items you wish to order, ensuring that the total amount does not exceed $20.
  4. Once you have selected your items, carefully fold the form and secure it with tape.
  5. Affix a first-class postage stamp to the outside of the folded form to send it by mail.
  6. Alternatively, you can place your order by phone by calling the designated number during business hours. You also have the option to fax the completed order form if you prefer that method.
  7. Before submitting your order, double-check that all the information is accurate and complete. After submitting, you may need to save or print a copy of your submission for your records.

Complete your OH OTC Form 2014 online now to easily access your OTC benefits.

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You must file claims within 365 days from the date services were performed, unless there's a contractual exception.

Aetna Better Health of Florida P.O. Box 63578 Phoenix, AZ 85082-1925 Electronic Claims (EDI): Payor ID 128FL WebConnect is our free provider claims submission portal via Change Healthcare (Emdeon) found at https://office.emdeon.com/vendorfiles/AetnaFL.html.

Both claims should be submitted to payer ID 68024.

How do I file a claim? You must file claims within 365 days from the date of service.

AETNA BETTER HEALTH® KIDS We're pleased to provide you with this quick guide to help expedite billing and payment for services submitted on UB-04 or CMS-1500 forms. We require providers to submit claims within 180 days from the date of service unless otherwise specified within the provider contract.

Timely Filing Requirements of Claims Corrected claims must be submitted within 365 days from the date of service.

You must file claims within 365 days from the date services were performed, unless there's a contractual exception.

(D) Timely filing: (1) Claims are timely if received by ODM within: (a) Three hundred sixty-five days of the actual date the service was provided. (b) Three hundred sixty-five days from the date of discharge for inpatient hospital claims.

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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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
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 WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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