• US Legal Forms

Subrogation For Aetna In Tarrant

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

Description

The Subrogation for Aetna in Tarrant is a legal form designed for use in recovery and declaratory judgment cases, specifically involving insurance claims arising from accidents. This form allows insurance companies to recover funds paid out to insured individuals from third parties deemed responsible for the accident. Key features include outlining the parties involved, establishing jurisdiction and venue, and detailing the nature of the action. Users must fill in specific details such as party names, dates, and amounts paid, ensuring accurate and precise information is provided. This form is particularly useful for attorneys, partners, owners, associates, paralegals, and legal assistants who are handling personal injury claims or insurance disputes. By utilizing this form, legal professionals can effectively manage subrogation claims, ensuring that all necessary documentation is properly filed to recover owed amounts. Additionally, it provides a structured approach to declaring the insurance company's rights and interests in potential recovery from liable third parties, making it an essential tool in legal proceedings.
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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

18 months. In situations where a claim was denied for not being filed timely, the provider has 180 calendar days from the date the denial was received from another carrier as long as the claim was submitted within 180 calendar days of the date of service to the other carrier.

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.

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.

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.

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 Tarrant