• US Legal Forms

Subrogation For Aetna In Nassau

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

Description

The document is a Complaint for Recovery and for Declaratory Judgment, primarily focusing on subrogation for Aetna in Nassau. This form is utilized in cases where an insurance company seeks to recover costs paid out for claims against a party deemed responsible for an accident. Key features include details on the parties involved, jurisdiction, venue, and the nature of the action. The form requires filling in specific information such as names, insurance policy details, and amounts paid, ensuring thorough documentation for legal proceedings. Attorneys, partners, and legal assistants will find this form valuable in cases where subrogation rights need to be established, particularly in auto insurance claims. It serves as a legal basis for recovering funds from liable parties, making it essential for managing claims efficiently. Accurate completion of this form ensures that all relevant parties are addressed and legal remedies are pursued effectively.
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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

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.

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

You must file claims within 120 days from the date you provided services, unless there's a contractual exception.

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.

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

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Subrogation For Aetna In Nassau