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Subrogation For Aetna In Montgomery

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

Description

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.

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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

You have 180 days from the date of the initial decision to submit a dispute. However, you may have more time if state regulations or your organizational provider contract allows more time. To facilitate the handling of an issue, you should: State the reasons you disagree with our decision.

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.

You must file claims within 180 days from the date services were performed, unless there's a contractual exception. For inpatient claims, the date of service refers to the member's discharge date.

Timely Filing Limitations Providers must submit electronic or paper claims to MPC for reimbursement within one hundred eighty (180) days from the service date. For a claim on a CMS 1500 claim form, one hundred eighty (180) days are counted from the day the service was performed.

Timely filing is when an insurance company put a time limit on claim submission. For example, if a insurance company has a 90-day timely filing limit that means you need to submit a claim within 90 days of the date of service.

We require providers to submit claims within 180 days from the date of service unless otherwise specified within the provider contract.

When filing a hospital indemnity insurance claim, you will need to provide the following documentation: Statement of Insured, completed via online claim filing or paper claim form. Itemized Bills with diagnoses for all inpatient confinement, imaging, and advanced studies claims.

You can submit claims online or resubmissions through ConnectCenter.

The subrogation process can take weeks, months, or sometimes years to complete, depending on the circumstances of the accident, the complexity of the claim, and the state where it occurred.

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Subrogation For Aetna In Montgomery