Get Aetna Gc-7-42 2016-2025

Filling out the Aetna GC-7-42 form is an essential process for submitting claims for medical benefits. This guide will provide you with clear and structured instructions to ensure your claim is completed accurately and efficiently.

Follow the steps to complete the Aetna GC-7-42 form.

1. Use the ‘Get Form’ button to retrieve the form and open it in the appropriate editor.
2. Complete items one (1) through twenty-one (21) ensuring that all fields are accurately filled out.
3. If you have other medical coverage, fill in items twenty-two (22) through twenty-six (26) as required.
4. Make sure to sign the authorization to release information in block twenty-seven (27).
5. If you prefer that your benefits for this claim be paid directly to your physician or supplier, sign block twenty-eight (28).
6. If applicable, attach a copy of the bills submitted to any other plans, including Medicare, along with the explanation of benefits received.
7. Include itemized bills or request your health care provider to complete the reverse section of the form. Ensure that the bills contain the patient's name, condition treated, type of services rendered, dates of service, and relationship to the member.
8. For medication coverage claims, submit receipts or a Prescription Drug Record form including details such as drug name, purchase date, and pharmacy information.
9. Retain copies of all bills for your records before submission.
10. Finally, send the completed benefits request form and documents to: Aetna Life Insurance Company, PO Box 981106, El Paso, TX 79998.

Complete your Aetna GC-7-42 online now to ensure timely processing of your medical benefits claim.