• US Legal Forms

Subrogation For Aetna In Virginia

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

Description

The form pertains to the subrogation process for Aetna in Virginia, allowing insurers to recover costs associated with claims paid out due to accidents involving insured parties. Key features include the description of parties involved, establishing jurisdiction, and a detailed account of the accident and liabilities. Attorneys, paralegals, and legal assistants will find this form essential for filing a complaint for recovery of funds and for obtaining a declaratory judgment regarding insurance claims. It outlines necessary claims against defendants, potential damages, and subrogation rights based on incurred medical bills and other expenses. Users should be meticulous in filling out all parties' information and documenting the amounts paid under relevant insurance policies. The form can serve as a resource in personal injury and insurance cases, ensuring that all claims are articulated and align with Virginia's legal framework. Additionally, it provides clear instructions on how to present the case in federal court, relevant to practitioners navigating similar disputes.
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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

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

Virginia Anti-Subrogation Statute for Health Insurance Payments (Code Section 38.2-3405) Virginia's anti-subrogation rule states that a health insurance company may not seek indemnification from its insured.

It states that a subrogated insurance company standing in the shoes of its insured cannot bring a subrogation action against or sue its own insured.

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.

Use red drop on UB-04 paper forms only. Replacement/corrected claims require a Type of Bill with a Frequency Code “7” (field 4) and claim number in the Document Control Number (field 64). Enter all required data. All patient details are required (ID number with prefix, last name, first name, and date of birth).

A corrected claim is a replacement of a previously submitted claim. Previously submitted claims that were completely rejected or denied should be sent as a new claim.

Within 180 calendar days of the initial claim decision.

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).

Signature Advantage is a Special Needs plan that covers all the benefits of Original Medicare (Parts A and B) with prescription drug coverage (Part D). If you or your loved one is eligible, Signature Advantage may be the extra benefit you need to maintain and enhance your health and well-being.

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Subrogation For Aetna In Virginia