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Authorized Representative Request FAX NumberMember NameAetna ID NumberProvider of Service Name and Dates of Service or Proposed Service, do hereby imprint the name of the member who is receiving the.
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Revoke FAQ
Aetna Senior Supplemental Insurance P.O. Box 14770 Lexington, KY 40512-4770.
We will resolve expedited appeals within 36 hours of receipt for a two level appeal process or 72 hours for a one level appeal process or within state mandated guidelines. Please note that the member appeals process applies to expedited appeals.
The most common reasons for denials from health insurance providers like Aetna include: Your doctor provided insufficient evidence of medical necessity. You failed to use an in-network provider. You failed to obtain prior authorization or pre-certification for your service or treatment.
If you receive a denial and are requesting an appeal, you'll “request a medical appeal.” You can call us, fax or mail your information. Call: 1-800-245-1206 (TTY: 711), 7 days a week, 8 AM to 8 PM.
We will resolve expedited appeals within 36 hours of receipt for a two level appeal process or 72 hours for a one level appeal process or within state mandated guidelines. Please note that the member appeals process applies to expedited appeals. Post-service appeals are not eligible for expedited handling.
Second medical opinions With Aetna Second Opinion, powered by 2 nd MD, members can get a second opinion on a new diagnosis or surgery from over 120 recognized specialists, at no cost.
Filing an appeal You can file an appeal within 180 days of receiving a Notice of Action.
To help us resolve the dispute, we'll need: A completed copy of the appropriate form. The reasons why you disagree with our decision. A copy of the denial letter or Explanation of Benefits letter. The original claim. Documents that support your position (for example, medical records and office notes)
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