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 Tarrant
Category:
State:
Multi-State
County:
Tarrant
Control #:
US-000279
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Word;
Rich Text
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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.
More info
Get tools and guidelines from Aetna to help with submitting insurance claims and collecting payments from patients. Find the forms and documents you need.Call our corporate contact center. They don't have access to member account info, but they can share contact options for Aetna Member Services. Subrogation lets insurers recover paid money. In personal injury cases, a lien is asserted in specific situations. If you have health insurance and receive a subrogation letter, it's in your best interest to contact a Fort Worth claims attorney. Find forms and applications for health care professionals and patients, all in one place. Address, phone number and practice changes. To reach the 24-Hour Nurse Line, just call 1- (TTY: 711).