Filing an appeal Both in-network and out-of-network providers have the right to appeal our claims determinations within 60 calendar days of receipt of the claim denial. You can file an appeal in regard to things like: Provider credentialing.

Aetna Better Health of Virginia is part of Aetna® and the CVS Health® family, one of our country's leading health care organizations. We've been serving people who use Medicaid services for over 30 years — from kids, adults and seniors to people with disabilities or other serious health issues.

Medical claims must be submitted within 365 calendar days from the date of service or discharge. The claim will be denied if not received within the required timeframes. Corrected claims must be submitted within 365 days from date of service.

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. Claims forms are available for download from the bottom of the screen when you access the member portal or call Member Services. Have questions?

Aetna Better Health of Virginia is part of Aetna® and the CVS Health® family, one of our country's leading health care organizations. We've been serving people who use Medicaid services for over 30 years — from kids, adults and seniors to people with disabilities or other serious health issues.

TIMELY FILING Virginia Medicaid is mandated by federal regulations [42 CFR § 447.45(d)] to require the initial submission of all claims (including accident cases) within 12 months from the date of service. months from the date of the service reflected on a claim.

These are the health plans Medicaid and FAMIS members can choose: Aetna Better Health of Virginia. Anthem HealthKeepers Plus. Molina Healthcare. Sentara Community Plan. UnitedHealthcare Community Plan.