Links to various non-Aetna sites are provided for your convenience only. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). People also askHow do you contact Aetna Insurance?How do you contact Aetna Insurance? 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. Disclaimer of Warranties and Liabilities. The 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) for a particular member. Company Number 0192529 Previous Company Numbers. Without the correct policy number, healthcare providers may not be able to bill your health insurance provider. A detailed view provides claim office contact information, claim handler, insured information, loss/accident information, and financial . 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. The member's benefit plan determines coverage. The term precertification here means the utilization review process to determine whether the requested service, procedure, prescription drug or medical device meets the company's clinical criteria for coverage. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. Since Dental Clinical Policy Bulletins (DCPBs) 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. HMO Based Plans (California) 800-624-0756. Past Week Call us. 2021 Health-insurance-info.net. New and revised codes are added to the CPBs as they are updated. 0001-Transrectal Ultrasound. available through www.aetna.com, for more information. 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. Applicable Procedure Code: 37241. 7, 2021. The format for an auto insurance policy number is usually 9-13 digits long and looks similar to this: "Policy # [your 9-13 digit number here]" Premium statements often have the policy number printed within them. Once complete, we'll automatically update our records to show your . In the instructions for Form 5500, the IRS informs us that Plan ID numbers are to begin with 501 for a company's first health & welfare plan. INS CORPORATION OF AMERICA ( ICA ) 9065. Plantation, FL 33324. Member ID/Policy Number This number is always on the front of the card. A Medicare or Medicare , See Also: Insurance , Medical Show details, All Time (14 Tips) While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. Past month, Overall, Aetna can be considered a good insurance company. CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to the implied warranties of merchantability and fitness for a particular purpose. Copy. You will receive notice when necessary. Coverage for members. Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do . Overall, Aetna can be considered a good insurance company. Please be sure to add a 1 before your mobile number, ex: 19876543210, Precertification lists and CPT code search. 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 , All Time (14 Recipes) 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. The customer will be required to enter in a PIN when linking out to the following payer space apps: Code Editing Tool = "Code Edit Lookup Tools". Do you want to continue? Health benefits and health insurance plans contain exclusions and limitations. The company stopped offering individual health insurance plans in 2018 due to revenue losses on the healthcare marketplace. 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. 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. 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. 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. The discussion, analysis, conclusions and positions reflected in the Clinical Policy Bulletins (CPBs), including any reference to a specific provider, product, process or service by name, trademark, manufacturer, constitute Aetna's opinion and are made without any intent to defame. ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. This Agreement will terminate upon notice if you violate its terms. This search will use the five-tier subtype. Here " A2A" is BCBS alpha numeric prefix. Report the accident. Effective Date: 08.01.2022 - This policy addresses embolization of the ovarian or internal iliac veins. Call Your Agent. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. 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. This is the phone number for the Corporate Contact Center. BCBS Alpha Numeric Prefix - It's a three letter Alpha numeric prefix followed by id number. All Rights Reserved. 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. address/zip code/email/etc. If you ordered your policy online, you can retrieve your insurance policy number (s) by signing in to . Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. You, your employees and agents are authorized to use CPT only as contained in Aetna Precertification Code Search Tool solely for your own personal use in directly participating in health care programs administered by Aetna, Inc. You acknowledge that AMA holds all copyright, trademark and other rights in CPT. 0007-Erectile Dysfunction. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. CPT is a registered trademark of the American Medical Association. WHERE TO FIND MY CAR INSURANCE POLICY NUMBER. Treating providers are solely responsible for dental advice and treatment of members. 0008-Color-Flow Doppler Echocardiography in Adults. Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites. The discussion, analysis, conclusions and positions reflected in the Clinical Policy Bulletins (CPBs), including any reference to a specific provider, product, process or service by name, trademark, manufacturer, constitute Aetna's opinion and are made without any intent to defame. The 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) for a particular member. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to the implied warranties of merchantability and fitness for a particular purpose. Here " ABC" is BCBS alpha prefix. 0003-Apnea Monitors for Infants. 0004-Obstructive Sleep Apnea in Adults. 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