• US Legal Forms

Subrogation For Aetna In Contra Costa

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

Description

The Subrogation for Aetna in Contra Costa form is designed to assist insurance companies in pursuing recovery of costs paid related to claims arising from accidents. This form is crucial for legal professionals, including attorneys, paralegals, and legal assistants, as it provides the framework for filing a complaint in U.S. District Court regarding subrogation rights. Key features of the form include sections for detailing the parties involved, jurisdiction, the nature of the action, and general allegations related to the accident and incurred costs. Users must fill in specific information such as names, dates, and monetary amounts associated with the claim, ensuring that all detail aligns with legal requirements. The form also outlines the circumstances under which Aetna can reclaim amounts related to uninsured or underinsured motorist claims. This document is particularly relevant in personal injury cases where insurance recovery is sought, enabling law firms to effectively represent their clients' interests. Accurate and thorough completion of the form is essential to uphold the legal process and ensure claims are appropriately filed for recovery.
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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

Submitting Claims Claims received after 180 days will be denied for untimely filing.

Call: 855-597-2624 (TTY 711)

Call: 855-597-2624 (TTY 711)

Contact options for providers Medicare medical and dental plans: 1-800-624-0756 (TTY: 711) Non-Medicare plans (includes individual & family plans): 1-888-632-3862 (TTY: 711) Non-Medicare dental plans: 1-800-451-7715 (TTY: 711) Supplemental plans: 1-888-772-9682 (TTY: 711) Worker's compensation: 1-800-238-6288 (TTY: 711)

Aetna offers group health insurance plans in all 50 states and in terms of membership is the third largest health insurer in the United States behind United Healthcare and Anthem Blue Cross. In California, Aetna ranks sixth in number of members among health insurance companies.

Need help? Contact your agent for personalized help. You may also call Aetna CVS Health at (866) 901-2922 or Covered California at (800) 300-1506.

Aetna Signature Administrators® is the brand name for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna).

Aetna Inc. Since November 28, 2018, the company has been a subsidiary of CVS Health. Aetna Inc. Aetna's headquarters in Hartford, Connecticut.

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

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

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Subrogation For Aetna In Contra Costa