• US Legal Forms

Subrogation For Aetna In Clark

State:
Multi-State
County:
Clark
Control #:
US-000279
Format:
Word; 
Rich Text
Instant download

Description

The document outlines a Complaint for Recovery and Declaratory Judgment, specifically addressing subrogation related to an automobile accident involving Aetna in Clark. This form is designed for use in the United States District Court and includes essential parts such as jurisdiction, parties involved, and nature of the action. Key features include the claim for recovery of medical costs incurred due to the accident and the establishment of a subrogation right, allowing the insurance provider to recover costs paid on behalf of an injured party. It requires the plaintiff to detail the amounts paid and asserts the insurance company's right to pursue recovery from the at-fault parties. Filling instructions include clearly stating plaintiff and defendant information, insurance policy details, and the basis for claims. This form is particularly useful for attorneys, partners, and associates dealing with personal injury cases, as well as paralegals and legal assistants who support the claim processes. It ensures clarity in presenting facts to the court and aids in the efficient management of subrogation claims.
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  • Preview Complaint for Recovery of Monies Paid and for Declaratory Judgment as to Parties' Responsibility and Subrogation
  • Preview Complaint for Recovery of Monies Paid and for Declaratory Judgment as to Parties' Responsibility and Subrogation
  • Preview Complaint for Recovery of Monies Paid and for Declaratory Judgment as to Parties' Responsibility and Subrogation

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FAQ

Aetna has announced timely filing limits for non-participating providers will be reduced from 27 months to 12 months for traditional medical claims beginning Jan. 1, 2022. Providers should expect to see filing limit denials for this new timeframe beginning in 2023.

How to Find Timely Filing Limits With Insurance Insurance CompanyTimely Filing Limit (From the date of service) Aetna Better Health 180 Days Aetna Better Health Kids 180 Days Ambetter 180 Days AvMed 1 Year28 more rows

You can submit a claim online through the member website at myaetnasupplemental. Or you can download a paper claim form or request one be sent to you by our customer service and mail it to: Aetna Voluntary Plans, PO Box 14079, Lexington, KY 40512-4079.

What is aetna reconsideration form? The Aetna reconsideration form is a document that allows individuals or healthcare providers to request a review or reconsideration of a denied claim or coverage determination by Aetna, a health insurance company.

You can submit claims online or resubmissions through ConnectCenter.

EAP claims should be submitted through Provider Express or on a CMS-1500 claim form using the standard "HJ" modifer in section 24D.

Use the CPT Code 99404 in order to indicate the sessions is billed under EAP.

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Subrogation For Aetna In Clark