
Dental Benefits Claim Instructions Aetna Form
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People also ask
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Can you submit claims electronically to Aetna?
You can submit claims online or resubmissions through ConnectCenter.
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Why is Aetna not paying claims?
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.
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What is the timely filing limit for Aetna claims?
First, you need to fill out a claim form. If you are resubmitting a claim, you need to write “resubmission” on the paper claim form. You must file claims within 180 days from the date services were performed, unless there's a contractual exception.
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Where do I send Aetna dental claims?
You have 180 days from the date of the initial decision to submit a dispute. However, you may have more time if state regulations or your organizational provider contract allows more time. To facilitate the handling of an issue, you should: State the reasons you disagree with our decision.
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What is the timely filing limit for Aetna dental claims?
Aetna has announced timely filing limits for non-participating providers will be reduced from 27 months to 12 months for traditional medical claims beginning Jan. 1, 2022. Providers should expect to see filing limit denials for this new timeframe beginning in 2023.
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What is the payer ID for Aetna dental plans?
Electronic claims Submit your dental claims and encounters electronically. Payer ID numbers are 60054 for Aetna claims and 68246 for Aetna encounters.
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What is the timely filing limit?
Where to Submit claims: Check the form for up to date information however as of 2021 here are the addresses for each: Medical. Aetna. PO Box 981106. El Paso, TX 79998-1106. Dental. Aetna Dental. PO Box 14094. Lexington, KY 40512-4094. Vision.
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