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New Jersey Application/Change Request Aetna Life Insurance ...
Get New Jersey Application/Change Request Aetna Life Insurance ...
Er Requested Effective Date / / 2. Change - Check all that apply. Date of Event Reason Add Spouse/Civil Union Partner* / / Add Domestic Partner* / / Add Dependent Child* / / Name Change / / Change Plan / / Other / / Add/Change Office ID Numbers and/or NPI Numbers: Primary/OB/Gyn 3. Remove or Terminate - Check all that apply. Effective Date Reason Remove Applicant* / / Remove Spouse/Civil Union Partner* / / Remove Domestic Partner* / / Remove Dependent Child* /.
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Aetna Better Health of New Jersey part of Aetna, one of the nation's leading health care providers and a part of the CVS Health® family. We have over 30 years of experience serving Medicaid populations including children, adults and people with disabilities or other serious health conditions.
All medical bills including audio services for ASEA Health Trust participants must be submitted directly to Aetna at PO Box 981106, El Paso, TX 79998-1106. Click here for information about how to submit electronic claims.
El Paso, TX 79998-1106 Submit all paper claims for covered services as soon as possible using an Aetna claims form or by using the standard CMS-1500 or UB-04 form.
Have questions or need language help? Just call 1-855-232-3596 (TTY: 711). We're here for you 24 hours a day, 7 days a week.
El Paso, TX 79998-1106 Submit all paper claims for covered services as soon as possible using an Aetna claims form or by using the standard CMS-1500 or UB-04 form.
Filing a claim is really that simple. 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.
Use our electronic payer ID #60054. Aetna Medicare is a PDP, HMO, PPO plan with a Medicare contract.
Aetna Medicare PO Box 981106 El Paso, TX 79998-1106 This card does not guarantee coverage. Payer ID# 60054 Medicare limiting charges apply.
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