Aetna Dental Claim Form & Instructions Accessible PDF Aetna Dental Claim Form & Instructions
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People also ask aetna gc813 signature
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What is the Aetna modifier 22 policy?
We may ask you to submit clinical records before we pay a claim if the claim includes: A code appended with Modifier 22 (unusual procedural service). For example, we may request an operative report for surgical procedures or office notes for non• surgical procedures. -
How do I bill bilateral procedures with Aetna?
Bilateral surgical and nonsurgical procedures are reported as a single code billed (1) with modifier 50, (2) twice on the same day with RT and LT modifiers, or (3) with 2 units. For Medicare plans, Aetna pays 150% of the fee schedule amount for a bilateral surgical procedure. -
What is the payer ID for Aetna dental claims?
If you need the five-digit payer ID number to show the destination of the claim, use 60054 for Aetna claims, and 68246 for Aetna encounters. Use current CDT codes (five-position codes starting with the letter “D”) for each procedure. The claim may require other information. This varies ing to the submitted claim. -
Does Aetna accept corrected claims electronically?
You can submit corrected and voided claims electronically. Just include the originally assigned claims number. -
How do I request an EOB from Aetna?
Simply log in to your secure Caremark.com account, click on "Plan & Benefits," and then select "Explanation of Benefits Statements" to get started. -
What is the Aetna modifier 22 policy?
We may ask you to submit clinical records before we pay a claim if the claim includes: A code appended with Modifier 22 (unusual procedural service). For example, we may request an operative report for surgical procedures or office notes for non• surgical procedures. -
What is the payer ID for Aetna dental claims?
If you need the five-digit payer ID number to show the destination of the claim, use 60054 for Aetna claims, and 68246 for Aetna encounters. Use current CDT codes (five-position codes starting with the letter “D”) for each procedure. The claim may require other information. This varies ing to the submitted claim. -
How can members submit a dental reimbursement claim to Aetna?
After logging in to your secure member website, follow these steps: Click "Claims Center," then "Submit claims" Complete your claim online. Copy, scan and upload your supporting documents, including itemized bills, original receipts. Click "submit claim" to complete the process.
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