This form for use in litigation against an insurance company for bad faith breach of contract. Adapt this model form to fit your needs and specific law. Not recommended for use by non-attorney.
Subrogation For Aetna In Hillsborough
Category:
State:
Multi-State
County:
Hillsborough
Control #:
US-000279
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Word;
Rich Text
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FAQ
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.
You can submit claims online or resubmissions through ConnectCenter.
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.
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.
If you've had a health treatment or disability claim denied by Aetna, it could be because: The procedure is considered cosmetic (not medically necessary) Your doctor is out of network or doesn't participate in the plan. Your plan doesn't cover your medical condition.
Part C plans, also known as Medicare Advantage plans, are run by private insurance companies, like Aetna® Medicare. Medicare Advantage plans are a lot like Original Medicare. But they can include valuable extra benefits that Original Medicare doesn't.
How to request for an appeal of an Aetna Medicare Advantage plan claim denial? 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), Monday to Friday, 8 AM to 8 PM.