Our claims processAccessing health care when you need it is your priority ― and we're always here to help you with that. But we recognize it's also important that you get reimbursed for money you've spent on health care services in a timely, efficient fashion. That's where medical claims submission comes into play. The process actually starts BEFORE you complete a claim form, so here's what you can do to make it go smoothly. Show Let our friendly illustrated character ‘Scoop’ show you how easy it is to make a claim in this quick start video guide. ReferralsYou'll need to request a referral letter from your medical practitioner or specialist if you plan on submitting a claim for any of the following services:
Before you submit your claimMake sure you know and have on hand the following:
How to submit a claim onlineSubmitting a claim online is the most efficient method. After logging in to your secure member website, follow these steps:
How to submit a claim by fax, email or traditonal mailYou can also submit a claim by traditional mail, email or secure fax. Mailing addresses and fax numbers are included on your form for your convenience. Don't forget to make copies of everything you mail for your own records. After logging in to your secure member website, follow these steps:
How to update or check on a previous claim submissionIf you need to update or check on the status of a specific claim you submitted online, simply find the claim reference number by clicking the appropriate button on the "Submit a claim" screen. Your history of claims that you submitted online is all there, complete with the reference tracking numbers. Click "submit claim" to complete the process Remember: Original receipts should be kept on file in case they are needed for verification purposes. We recommend you submit claims within 180 days, however, please refer to your plan documents or contact Member Services to confirm your plan's exact requirements. Go Mobile!Submit and manage your claims wherever you go through our International Mobile Assistant, a free application that puts the most important features of your secure member website at your fingertips. This app is one of several tools that help you stay connected to the information and updated resources you need. Find out more about our mobile apps > Log in to your secure member website now to:
For questions or assistance, contact our 24-hour Member Service Center. Invoice requirements and submission guidelinesInvoices must be submitted to Aetna International no later than 60 days from the date of service. Aetna International shall have the discretion not to accept liability for payment of invoices received after the expiration of 60 days from the date of discharge of the insured person from the hospital or facility. Invoice requirements:
Please send a copy of the authorization letter that you received from Aetna International along with your completed invoice to:
Please note: The Aetna International Service Center will process the invoice and initiate the funds transfer or check within 30 days of receipt of complete information. The currency conversion rate used to calculate the amount of the payment will be based upon the date of service. LoginLogin to the Aetna International secured provider portal to retrieve your explanation of benefits (EOB) and to check claim status 45 days after claim submission. Secured provider website services include:
Important information on patient servicesNot every medical service or supply is covered by the plan, even if prescribed, recommended or approved by a physician or dentist. Coverage is available for only those services and supplies that are medically necessary. If you have any questions about a procedure,
medication or device, please contact us. How do I file a life insurance claim with Aetna?You can call our Customer Service Center toll-free at 1-866-292-3374. We're happy to help you.
What is Aetna headquarters address?Hartford, Connecticut, United StatesAetna / Headquartersnull
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.
Is Aetna called American Continental insurance?Following in the same tradition of CLI, American Continental Insurance Company (ACI) was established in 2005. CLI and ACI became members of the Aetna family of companies in 2011, further enhancing their strength and stability in the senior insurance market.
|