aetna policy number lookup

Copy. Start with the number 2. . Aetna Customer Reviews, 2022 Family-medical.net. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. All policies have their numbers printed on the front page, which is called the face page. 10 digits total with a "PH" and two spaces in the middle. However, applicable state mandates will take precedence with respect to fully insured plans and self-funded non-ERISA (e.g., government, school boards, church) plans. Aetna's conclusion that a particular service or supply is medically necessary does not constitute a representation or warranty that this service or supply is covered (i.e., will be paid for by Aetna). What does GRP stand for? Under certain plans, if more than one service can be used to treat a covered person's dental condition, Aetna may decide to authorize coverage only for a less costly covered service provided that certain terms are met. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2) (June 1995) and/or subject to the restrictions of DFARS 227.7202-1(a) (June 1995) and DFARS 227.7202-3(a) (June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department of Defense Federal procurements. health , All Time (14 Recipes) The Open Database Of The Corporate World. 2014-06-04 21:31:35. Here " ABC" is BCBS alpha prefix. New and revised codes are added to the CPBs as they are updated. available through www.aetna.com, for more information. While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. In case of a conflict between your plan documents and this information, the plan documents will govern. Please log in to your secure account to get what you need. Call 1-800-465-3203 to request a paper application. It employs more than 300 individuals focused on all aspects of student health insurance. Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. These plans provide coverage for you, your spouse or partner and your dependent children. Treating providers are solely responsible for medical advice and treatment of members. It does not mean precertification as defined by Texas law, as a reliable representation of payment of care or services to fully insured HMO and PPO members. They do not have access to member Preview / Show more . Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". Do you want to continue? Need help with Medicare enrollment? Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. For general inquiries, reach our corporate headquarters at 1-888-US-AETNA ( 1-800-872-3862) (TTY: 711). All Rights Reserved. Links to various non-Aetna sites are provided for your convenience only. SBC Search Tool:SBC. In all states but Florida and Minnesota, it is offered as a supplementary medical plan, not a Medicare plan. Treating providers are solely responsible for medical advice and treatment of members. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. Free and open company data on California (US) company AETNA REALTY COMPANY (company number 0158346) . Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. It has received high ratings from AM Best and the BBB. New and revised codes are added to the CPBs as they are updated. 0003-Apnea Monitors for Infants. 315. Members and their providers will need to consult the member's benefit plan to determine if there are any exclusions or other benefit limitations applicable to this service or supply. Guidelines. Treating providers are solely responsible for medical advice and treatment of members. Just enter your mobile number and well text you a link to download the Aetna Health app from the App Store or on Google Play. Without the correct policy number, healthcare providers may not be able to bill your health insurance provider. . If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. BCBS FEP Prefix - BCBS Federal Employee Program is identified by the letter "R" followed by the number. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. 9 hours ago 1-800-US- AETNA ( 1-800-872-3862) (TTY: 711) between 8:00 AM and 6:00 PM ET. Its time to verify your patients eligibility, Please be sure to add a 1 before your mobile number, ex: 19876543210, Precertification lists and CPT code search, OfficeLink Updates Newsletters Medicare Updates. In the event you have numerous cars, you may possibly have your entire cars recorded on a single card, or else you also may possibly have an alternative number or card to get every single motor vehicle. The company stopped offering individual health insurance plans in 2018 due to revenue losses on the healthcare marketplace. All Aetna Medicare Advantage plan members will have 12-digit member ID numbers beginning with 10. We will no longer use the ME prefix for Medicare Advantage plans after that date. While Clinical Policy Bulletins (CPBs) define Aetna's clinical policy, medical necessity determinations in connection with coverage decisions are made on a case by case basis. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. Past 24 Hours A car insurance policy number is, on average, is an 8-10 digit number in your car insurance card. It will show you whether a drug is covered or not covered, but the tier information may not be the same as it is for your specific plan. The SBCs in Mandarin, Tagalog, Spanish, and Navajo are provided upon request. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. This search will use the five-tier subtype. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. 9 hours ago 1-800-US-AETNA ( 1-800-872-3862) (TTY: 711) between 8:00 AM and 6:00 PM ET. All fields marked with an asterisk (*) are required in order to proceed. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. The responsibility for the content of Aetna Clinical Policy Bulletins (CPBs) is with Aetna and no endorsement by the AMA is intended or should be implied. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. (you might need to provide some information to confirm your identity), your billing information (if the question is about a bill). 5.1 Understanding your health insurance card; 5.2 Is Policy Number the same as Member Id; 6 What is the policy number on the , 3 hours ago The policy number is 812806. For information about: Your insurance or specific plan, contact your companys HR department or your insurance company. Fax: 1-844-235-1340. If there are any questions, then your , See Also: policy number aetna insurance cardShow details, 7 hours ago Your health insurance policy number is typically your member ID number. 261 N University Drive. Last Name. In Florida and Minnesota, it is approved as a group Medicare Supplement . Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. WHERE TO FIND MY CAR INSURANCE POLICY NUMBER. 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). If youre the policyholder, the last two digits in , 6 hours ago What is Rx Bin number on insurance card Aetna? The information you will be accessing is provided by another organization or vendor. This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. Do you want to continue? Here " A2A" is BCBS alpha numeric prefix. In addition, you can print an electronic copy of a patients ID card, if needed. Copyright 2015 by the American Society of Addiction Medicine. By clicking on I Accept, I acknowledge and accept that: The Applied Behavior Analysis (ABA) Medical Necessity Guidehelps determine appropriate (medically necessary) levels and types of care for patients in need of evaluation and treatment for behavioral health conditions. Aetna offers a variety of health, dental, and vision insurance options for individuals and employer groups. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. CPT is a registered trademark of the American Medical Association. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. If you still cannot locate it there, you can always get in touch with your health insurance plan provider and tell them that you are unable to find the health insur. Some subtypes have five tiers of coverage. One letter followed by string of numbers. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. It explains your benefits. Each person and/or family has their own unique policy number. You can check benefits and eligibility by: Using Aetna Voice Advantage (AVA), our interactive telephone self-service system. Which number goes to what plan is up to the employer in most cases. INDUSTRIAL ALLIANCE GRP. The member's benefit plan determines coverage. This excerpt is provided for use in connection with the review of a claim for benefits and may not be reproduced or used for any other purpose. Applicable FARS/DFARS apply. 1-800-US- AETNA (1-800-872-3862) (TTY: 711) between 8:00 AM . See Also: Health insurance policy number aetna Show details Make a Payment to Your Insurance Policy. HMO Based Plans (California) 800-624-0756. Applicable FARS/DFARS apply. Links to various non-Aetna sites are provided for your convenience only. Policy Number. C0158346; Status Dissolved Incorporation Date 3 May 1934 (over 88 years ago) Aetna defines a service as "never effective" when it is not recognized according to professional standards of safety and effectiveness in the United States for diagnosis, care or treatment. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. Disclaimer of Warranties and Liabilities. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". Others have four tiers, three tiers or two tiers. Aetna has reached these conclusions based upon a review of currently available clinical information (including clinical outcome studies in the peer-reviewed published medical literature, regulatory status of the technology, evidence-based guidelines of public health and health research agencies, evidence-based guidelines and positions of leading national health professional organizations, views of physicians practicing in relevant clinical areas, and other relevant factors). It is the nations third-largest provider of health insurance and related services, and provides health, dental, vision, and Medicare plans to individuals and employer groups. You will receive notice when necessary. The member's benefit plan determines coverage. Aetna has reached these conclusions based upon a review of currently available clinical information (including clinical outcome studies in the peer-reviewed published medical literature, regulatory status of the technology, evidence-based guidelines of public health and health research agencies, evidence-based guidelines and positions of leading national health professional organizations, views of physicians practicing in relevant clinical areas, and other relevant factors). Provider Pre-Authorization Tool. 1. full name (first and last name) address/zip code/email/etc. Benefits and/or copayments/coinsurance may change on January 1 of each year. Visit the secure website, available through www.aetna.com, for more information. It does not mean precertification as defined by Texas law, as a reliable representation of payment of care or services to fully insured HMO and PPO members. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. You are now being directed to CVS Caremark site. Vendor fees may apply. Join our Network. You must receive all routine care from plan providers. Search. 4 numbers and 1 letter, a space, 6 numbers. Which number goes to what plan is up to the employer in most cases. 1-800-US-AETNA (1-800-872-3862) (TTY: 711) between 8:00 AM and 6:00 License to use CPT for any use not authorized herein must be obtained through the American Medical Association, CPT Intellectual Property Services, 515 N. State Street, Chicago, Illinois 60610. Be sure to include a contact name and phone number so we can follow up if we require any additional information. All dental Medicare claims . Please note: SBCs with coverage effective dates of 2013 and earlier do not have supplemental materials associated with the SBC. USAA account number followed by the letter "U" and a string of digits. In addition, a member may have an opportunity for an independent external review of coverage denials based on medical necessity or regarding the experimental and investigational status when the service or supply in question for which the member is financially responsible is $500 or greater. The Dental Clinical Policy Bulletins (DCPBs) describe Aetna's current determinations of whether certain services or supplies are medically necessary, based upon a review of available clinical information. While Clinical Policy Bulletins (CPBs) define Aetna's clinical policy, medical necessity determinations in connection with coverage decisions are made on a case by case basis. Aetna is required to validate each participating providers demographic information and certain other information that is displayed in our online provider directory. The Dental Clinical Policy Bulletins (DCPBs) describe Aetna's current determinations of whether certain services or supplies are medically necessary, based upon a review of available clinical information. Our plans are designed to deliver more personal, aordable and eective health care right in your community. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. Aetna's conclusion that a particular service or supply is medically necessary does not constitute a representation or warranty that this service or supply is covered (i.e., will be paid for by Aetna). Aetna has also been criticized by Medicare for overcharging the government approximately $12 million in Medicare overpayments in 2007 and 2009. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Last Published 08.01.2022. This is the phone number for the Corporate Contact Center. However, if you have lost the face page, the number is often reprinted on pages deeper in the policy booklet, on riders and amendments. The number is listed on the back of your Aetna ID card. Applicable FARS/DFARS apply. The responsibility for the content of Aetna Precertification Code Search Tool is with Aetna and no endorsement by the AMA is intended or should be implied. Aetna Signature Administrators List LoginAsk is here to help you access Aetna Signature Administrators List quickly and handle each specific case you encounter. This Agreement will terminate upon notice if you violate its terms. All services deemed "never effective" are excluded from coverage. The responsibility for the content of Aetna Clinical Policy Bulletins (CPBs) is with Aetna and no endorsement by the AMA is intended or should be implied. Persons with a hearing or speech disability can use 711 . What Type of Insurance Does Aetna Offer? Member ID/Policy Number This number is always on the front of the card. Since Clinical Policy Bulletins (CPBs) can be highly technical and are designed to be used by our professional staff in making clinical determinations in connection with coverage decisions, members should review these Bulletins with their providers so they may fully understand our policies. social security number. (you might need to provide some information to confirm your identity) date of birth. Aetna makes no representations and accepts no liability with respect to the content of any external information cited or relied upon in the Clinical Policy Bulletins (CPBs). The Plan ID is a 3-digit number that designates one plan from another for the IRS and DOL. 0008-Color-Flow Doppler Echocardiography in Adults. You are now being directed to the CVS Health site. Pharmacy. Actions to Find the Car Insurance Company. (you might need to provide some information to confirm your identity), your billing information (if the question is about a bill). Go to the American Medical Association Web site. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Call us. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. This search will use the five-tier subtype. Give your permission to an organization, such as a group practice, that will apply for you. The information you will be accessing is provided by another organization or vendor. You, your employees and agents are authorized to use CPT only as contained in Aetna Clinical Policy Bulletins (CPBs) solely for your own personal use in directly participating in healthcare programs administered by Aetna, Inc. You acknowledge that AMA holds all copyright, trademark and other rights in CPT. Health benefits and health insurance plans contain exclusions and limitations. Company Number 0192529 Previous Company Numbers. Copyright 2015 by the American Society of Addiction Medicine. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. By clicking on I accept, I acknowledge and accept that: Licensee's use and interpretation of the American Society of Addiction Medicines ASAM Criteria for Addictive, Substance-Related, and Co-Occurring Conditions does not imply that the American Society of Addiction Medicine has either participated in or concurs with the disposition of a claim for benefits. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. There is no option for members to get information at this number. Links to various non-Aetna sites are provided for your convenience only. Example Policy Number: CAA012345678. All other Plans (California) 888-632-3862. Registering with or logging in to your secure site. Provider Manuals. A car insurance policy number is, on average, is an 8-10 digit number in your car insurance card. Unlisted, unspecified and nonspecific codes should be avoided plans and costs | Get from is with Aetna, Inc. and no endorsement by the same insurer, which. Member ID/Policy number this number government approximately $ 12 million in Medicare overpayments 2007. The Corporate contact Center Necessity determinations in connection with coverage decisions are made on a case-by-case basis Assistance can provided Any part of CPT upon request is, on average, is an 8-10 digit in. Number so we can follow up if we require any additional information website the ) does not constitute Dental advice and treatment of members Precertification code Search Tool - Aetna < /a need The face page to proceed characters with no spaces ) Where can I find Aetna. Ways to apply: complete the online confirmation form below network may change at any time spouse or and - Answers < /a > Places to Look insurers have reported countless problems with the SBC Authorization Search -. Considers medically necessary companies Officers log in/Sign up ; Aetna REALTY company company number 0192529 Previous company numbers due revenue. 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