How do I find my Aetna fee schedule?

How do I find my Aetna fee schedule?

How to access your fee schedule

  1. If you’re affiliated with an Independent Practice Association (IPA), contact your IPA for a copy of your fee schedule.
  2. If you’re directly contracted with Aetna, you can call our Provider Service Center for help with up to ten Current Procedural Terminology® (CPT®) codes.

Does Aetna PPO cover dental?

Aetna does not provide dental, medical, vision or other health care/treatment. All care is the responsibility of the treating provider, in consultation with the participant.

What is a PPO fee schedule?

A fee schedule is a complete listing of fees used by Medicare to pay doctors or other providers/suppliers. This comprehensive listing of fee maximums is used to reimburse a physician and/or other providers on a fee-for-service basis.

Can I submit claims to Aetna online?

Submitting a claim online is the most efficient method. After logging in to your secure member website, follow these steps: Click “Claims Center,” then “Submit claims” Complete your claim online.

Where do I send my Aetna dental claim?

Mail to: SRC, an Aetna Company.

  • Attn: Claim Department.
  • PO Box 14094.
  • Lexington, KY 40512-4094.
  • Fax to: 1-859-455-8650.
  • Phone: 1-888-772-9682.
  • Does Aetna dental cover tooth implants?

    Most of Aetna’s traditional medical plans do cover replacement of teeth as a result of a non-biting injury. These plans do cover the replacement of teeth whether accomplished by fixed or removable prostheses or by surgical placement of a dental implant body.

    How long does it take Aetna to process a claim?

    If we had to approve your claim before you got care, we will decide within 30 days of getting your appeal. For other claims, we’ll decide within 60 days.

    What are the benefits of Aetna Health Insurance?

    Aetna Medicare insurance plans provide important health benefits to individuals, families, students, companies, and retirees. In addition to medical, hospital, and prescription benefits, Aetna offers various extra bonuses such as wellness, vision, and fitness benefits, as well as access to discounts on health-related services.

    What is Aetna authorization?

    The AETNA prescription prior authorization form is a document that is used to justify the prescribing of a particular medication not already on the AETNA formulary. The patient’s personal insurance information, their current condition, and the previous drugs/therapies attempted to remedy their…

    What is Aetna dental coverage?

    These Aetna dental insurance plans offer coverage for preventive care such as cleanings and x-rays, basic dental care such as fillings, extractions, and root canals, as well as major dental services such as dentures, bridges, crowns, and others.

    What is Aetna provider?

    Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). Health benefits and health insurance plans contain exclusions and limitations. See all legal notices