aetna better health of kentucky provider phone number

Aetna Medicare Grievance & Appeals 10.

Medicaid is offered at no or very low costs for those who qualify. Found inside – Page 29A lower number means a better accreditation . ... NonName formulary Getting care quickly Generic Customer service Claims processing Plan name Indiana Advantage Health Plan , Inc. $ 15 $ 30 $ 400 $ 10 $ 30 $ 50 O Aetna Health Inc. $ 20 ... Provider External Independent Third-Party Review In accordance with 907 KAR 17:035, if you receive an adverse final decision of a denial, in whole or in part, of a health service or claim for reimbursement related to this service, you may request an external independent third-party review.

EL PASO TX 79998 800-223-3580.

Escalations. Medicaid is offered at no or very low costs for those who qualify. Aetna Medical and Behavioral health. • We will pay Medicare-allowable rates to you for clean claims for covered services, less the member copayment, coinsurance and/or deductible, as described and required under MA regulations and the member’s MA PPO plan.

CCR Fax Number is 1-855-454-5043 Please check all documents at your facilities containing the Aetna Better Health of Kentucky Concurrent Review (CCR) fax number to ensure you are using the correct fax number. Cabinet for Health and Family Services Ombudsman (800) 372-2973. We will response ASAP.

There are several ways you connect with us. El Paso, TX 79998-1106, Appeals Mailing Address – Provider Resolution Team Aetna Better Health of Kentucky can be contacted at (502) 622-7577. During that time, you'll be able to access both portals. Tools and resources to help.

All participating Aetna Better Health of Kentucky providers are eligible to see SKY members under existing contracts. Aetna HMO 800-624-0756, PO BOX 30545

Make sure the following items are included on all applications: • Beneficiary’s name, as shown on their Medicare card, • Beneficiary’s permanent residence address/physical street address (PO box is not acceptable), • Medicare HICN — this is the number on the beneficiary’s Medicare card, • Proof of Medicare Part A and/or B entitlement, • On all 2018 applications, your National Producer Number (NPN)*. Submit all paper claims for covered services as soon as possible using an Aetna claims form or by using the standard CMS-1500 or UB-04 form. Found inside – Page 35A lower number means a better accreditation . ... day x 3 $ 10 $ 20 / $ 45 Yes 0 Vantage Health Plan $ 15 / $ 15 $ 250 $ 10 $ 20 / $ 35 Yes Maryland Aetna Health Inc. - High $ 15 / $ 20 $ 150 / day x 3 $ 10 $ 25 / $ 40 No O O 0 O 0 .

If you are eligible for both Medicare and Medicaid, you may be eligible for an Aetna ® Dual Special Needs Plan (D-SNP), including a personal care team, at low or no cost.

40512-4079, State Access member resources, form downloads and more. • No referrals are required to see members enrolled in these plans. Lexington, KY 40512. The following information regarding the scope of practice of this provider is available: NPI stands for National Provider Identifier. Member Services 1-855-300-5528. The web portal provides online access to prescription and Kentucky specific plan information as well as supporting documentation. If necessary, use the following claims billing addresses. Aetna Better Health® of Kentucky 9900 Corporate Campus Drive, Suite 1000 Louisville, KY 40223 The provider is registered as an organization entity type.

In Advancing Oral Health in America, the Institute of Medicine (IOM) highlights the vital role that the Department of Health and Human Services (HHS) can play in improving oral health and oral health care in the United States. This guide helps people with Medicare understand Medigap (also called Medicare Supplement Insurance) policies. A Medigap policy is a type of private insurance that helps you pay for some of the costs that Original Medicare doesn't cover.

. Use the Contact Us link on our website at www.aetna.com. If a provider is not participating, Aetna can reach out to the provider or the provider can contact Aetna. El Paso, TX Loaded with concrete meditation exercises, behavioral techniques, nutrition advice, and meal-planning charts, this book provides the tools to manage cravings, curb emotional overeating, and figure out when you are full. Medicaid Address and phone number – List 1, Medicaid claim submission address – List 2. Mail to: Aetna Owned Health PlansAetna Better Health of CaliforniaAetna Better Health of FloridaAetna Better Health of IllinoisAetna Better Health of KansasAetna Better Health of KentuckyAetna Better Health of LouisianaAetna Better Health of MarylandAetna Better Health of MichiganAetna Better Health of New JerseyAetna Better Health of New YorkAetna Better Health of OhioAetna Better Health of PennsylvaniaAetna Better Health of TexasAetna Better Health of VirginiaAetna Better Health of Virginia - HMO SNPAetna Better Health of West Virginia, Aetna Administered Health PlansMercy CareParkland Community Health Plan. P.O.

LA, MS, NC, NM, NV, OR, SC, UT, A. Humana Healthy Horizons in Kentucky (800) 444-9137. Aetna Better Health of Texas is not responsible or liable for non-Aetna Better Health content, accuracy, or privacy practices of linked sites, or for products or services described on these sites.

Aetna Provider Phone Number for below plans - 800-624-0756. Aetna Better Health of Kentucky's standard contacts are listed below: Aetna Better Health contacts Toll-free Fax Provider Services CICR (Claims Inquiry and claims research) 1-855-300-5528.

We are expecting an increase in membership for our Medicare Advantage (MA) preferred provider organizations (PPOs). AETNA BETTER HEALTH® AETNA BETTER HEALTH® KIDS Practitioner information change Make sure your contact information is current with us.

Ambetter Member and Provider Phone Number. West Virginia - Aetna Better Health of West Virginia Medicaid is health care coverage for people with lower incomes, special needs, disabilities, and some older adults, families and children. To register, follow the steps on this page.

Aetna better health claims address.

In Kentucky, DME service providers must be licensed with the Kentucky DME Suppliers; Enrolled as an active Medicaid provider and, if applicable, enrolled with the managed care organization (MCO) of any beneficiary it serves. Managed Care Organizations - all phone numbers are toll-free. Aetna Better Health® of Kentucky 9900 Corporate Campus Drive, Suite 1000 Louisville, KY 40223 800-566-9311.

We manage plans across the country including the Children's Health Insurance Plan (CHIP), plans for people on Medicaid and Medicare and long-term care programs. For all other Products’ Provider Dispute Inquiries (PPO and Commercial HMO plans): Contact the Provider Service Center at 1-888-MD-Aetna (632-3862).

4. (Dec. 30, 2020) - All Kentucky Department for Medicaid Services providers seeking to receive and administer the COVID-19 vaccine must enroll with the Kentucky Department for Public Health (KDPH) as soon as possible at vaccine provider enrollment. •Correct rejected claims and resubmit electronically.

BOX 14586 1000 LOUISVILLE, KY ZIP 40223-050 Phone: (855) 300-5528 . Part of the Neurosurgery by Example series, this volume on neurotrauma presents exemplary cases in which renowned authors guide readers through the assessment and planning, decision making, surgical procedure, after care, and complication ...

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Aetna Better Health ® of Kentucky 9900 Corporate Campus Drive, Suite 1000 Louisville, KY 40223 If an application is submitted without all of the required information, this will cause a processing delay. Aetna Better Health® of Kentucky Aetna Better Health ® of Kentucky . The provider's authorized official is Robert Mark Kessler . Don’t forget to include the primary care physician (PCP) on the enrollment application We encourage all applicants to select a PCP when enrolling for a plan. Lexington, KY 40512-4079 The link to NCCI on the Centers for Medicare & Medicaid Services (CMS) website is www.cms.gov/nationalcorrectcodinited/. We want to hear from you.

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COVENTRYCARES/AETNA BETER HEALTH KENTUCKY DEPARTMENT PHONE FAX Medical 1 -888 -725 -4969 1 -855 -454 -5579 . Designed by Elegant Themes | Powered by WordPress, CPT 59400, 59409, 59410 – Routine obstetric care including antepartum care, vaginal delivery, CPT 98966, 98967, 98968 – Telephone assessment, CRISIS STABILIZATION SERVICES Billing and Coverage LIMITATIONS, CPT CODE 64493 -Paravertebral Facet Joint Injection, CPT 97597, 97598 Removal of devitalized tissue from wound care, CPT Code 99201, 99202, 99203, 99204, 99205 – Which code to USE. With respect to bundling/unbundling logic, we use the Correct Coding Initiative (NCCI). To update the NPI records please contact the NPPES. The provider is (1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. Our plans go by different names in different states, but they all offer the same high-quality care. Mail. Aetna Medicare Advantage PlanU If you have more questions after reviewing the information on our secure provider website, you can call our Provider Service Center at 1-800-624-0756. In West Virginia, the Aetna Medicaid program is known as Aetna Better Health of West Virginia (ABHWV). 1000 LOUISVILLE, KY, 40223-4050.

•Review reports promptly to identify any items that require attention. The provider's authorized official is Robert Mark Kessler . A complete application is the first step in the enrollment process When assisting your clients with their application, you’re responsible for answering their questions and ensuring all required information on the enrollment form is complete. Phone: 800 264.4000. Aetna Better Health of Kentucky - (855) 300-5528 Anthem Blue Cross Blue Shield - (855) 690-7784 select “Aetna Health Plan,” then “Support Center” from the menu bar on the left. MA, MD, ME, MI, MN, MO, MT, NE, The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. Please visit your health plan website for the plan-specific phone number. • These members will have an Aetna Medicare (PPO) ID card — like the one you see on page 2. Aetna Better Health is not responsible or liable for non-Aetna Better Health content, accuracy, or privacy practices of linked sites, or for products or services described on these sites. Access member resources, form downloads and more. If you are a nonparticipating provider in our Medicare PPO plan. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. Authorizations. CoventryCares/Aetna Better Health 1-855-300-5528 ; 1-855-454-5585 ; Humana - CareSource ; 1-855-852-7005 1-855-262-9793 : Passport Health Plan 1-800-578-0636 : 502-585-8461 : WellCare of Kentucky ; 1-877-389-9457 1-866-201-0657 Behavioral Health 1-888-604-6106 1-855-301-1564 Do not include any dashes, suffixes or spaces. 8/22/21, Psychology Today: Meghan Marsac offers tips to help prepare children for doctor’s appointments and medical procedures. Link: https://www.psychologytoday.com/us/blog/afraid-the-doctor/202108/5-tips-taking-your-child-the-doctor A synopsis of the criteria is available to Providers and Members on request and free of charge by calling myNEXUS at 833-585-6262 or by emailing provider_network@myNEXUScare.com. Aetna PO Box 14067 Reimbursement and claims processing information.

Doing Business As: AETNA BETTER HEALTH OF KENTUCKY. Additionally, Aetna recently implemented the new Supporting Kentucky Youth (SKY) Medicaid managed care program.

Infinedi found there is an increase in claim rejections from Kentucky Medicaid and its associated MCOs: Caresource, Anthem KYMD, Aetna Better Health, Wellcare and Passport, for service dates of May 1, 2016, forward.

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Our plans go by different names in different states, but they all offer the same high-quality care. Where the Right Went Wrong chronicles how the Bush administration and Beltway conservatives have abandoned their principles, and how a tiny cabal hijacked U. S. foreign policy, and may have ignited a "war of civilizations" with the Islamic ... Where to turn for help Depending on your situation, you have a variety of resources to help you find the answers you’re looking for: They serve approximately 22.1 million medical members. If you feel some of our contents are misused please mail us at medicalbilling4u at gmail dot com.

PO Box 981106 Aetna Better Health of West Virginia. Aetna Better Health of Kentucky (855) 300-5528. Email: AetSSIinformation@aetna.com. Aetna Found inside – Page 35A lower number means a better accreditation . ... order discount Overall plan satisfaction Getting needed care Getting care quickly How well doctors communicate Customer service Claims processing Plan Name Kansas Coventry Health Care of ...

Section 1557 is the nondiscrimination provision of the Affordable Care Act (ACA). This brief guide explains Section 1557 in more detail and what your practice needs to do to meet the requirements of this federal law. Aetna Better Health of West Virginia. COLUMBIA SC 29224-3759 800-391-5367, PO BOX 981107
We greatly appreciate your assistance in the care of our members, your patients.

Claims Address. PO Box 14079

You can visit www.aetnaeducation.com for easy access to training and resources related to MA plans. Found inside – Page 29A lower number means better accreditation . ... service Claims processing Plan name Indiana Advantage Health Plan , Inc. $ 15 $ 30 $ 400 $ 10 $ 30 $ 50 O O Aetna Health Inc. $ 20 $ 25 $ 250 / day x 3 $ 10 $ 25 $ 40 O O o 0 Arnett HMO ... If payment is to be made DIRECTLY to the service provider (such as a doctor or hospital), also sign this block. Mail. • Submit a separate claim form for each eligible family member. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. Get the electronic payor id for Faster process. Found inside – Page 19The following are examples of six plans that have implemented transparency tools to help their enrollees become better informed health care consumers . Aetna has developed a suite of tools , called Estimate the Cost of Care ... • Provide the name, Member ID number or Social Security number, address and phone number of the covered person.

Phone. Mail. Pharmacy 1-855-300-5528 1-855-799-2550. Address Pharmacy. Aetna Medicaid affiliates currently own administer or support AETNA BETTER HEALTH OF KENTUCKY INSURANCE COMPANY is a health maintenance organization in Louisville, KY.

Log in. • Provide the patient’s name, relationship to the covered person, Member ID number or Social Security number, sex and date of birth. Claims adjustments. The provider's business location address is: 9900 CORPORATE CAMPUS DR STE. Found inside – Page 153the top-ranking hospitals (the best of which, in a recent ranking, is across the state line in Kentucky). ... Aetna U.S. Healthcare has a plan dating back to the late 1980s that offers financial incentives to providers who fare well on ... . The 1306223524 NPI number is assigned to the healthcare provider AETNA BETTER HEALTH OF KENTUCKY INSURANCE COMPANY, practice location address at 9900 CORPORATE CAMPUS DR STE. AL, AK, AR, AZ, CA, FL, GA, HI, ID, LA, MS, NC, NM, NV, OR, SC, UT, TN, WA, State Ambetter from Arizona Complete Health - Arizona. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location.

Or contact Aetna .

If you are a current Aetna provider, no action is needed.

•Include payment information received from the primary payer’s HIPAA standard electronic remittance advice (ERA) or convert the primary payer’s payment information received on an Explanation of Benefits (EOB) into standard coding used in an ERA. MOB provision: $370 bill results in $65.70 Aetna normal benefit. Dental.

When you have all the information necessary, mail your claim to the Aetna office shown on the top of this form. Lexington, KY 40512-4079, State In 2021, Aetna Better Health® / Medicaid is transitioning from the Medicaid Web Portal (MWP) to Availity as our Provider Portal.

Benefind (844) 407-8398 MCO Contacts for Members and Providers. 79998-1106, Aetna Student HealthSM  Aetna Medicare Grievance & Appeals Aetna Better Health of Kentucky: Member Services: (855) 300-5528 TTY users: 711 TDD users: (800) 627-4702 ; Anthem Member Services: (855) 690-7784 TTY and TDD users: 711 ; Humana 1441 Main Street, Suite 900, Columbia, SC 29201. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. WellCare of Kentucky (877) 389-9457 CPT Codes, Descriptors, and other data only are copyright 1999 American Medical Association (or such other date of publication of CPT). Aetna PO Box 981106 2. We appreciate your participation in the Aetna Better Health of Kentucky provider network. This section relates to information about the patient. ABHWV Provider Manual 2020-2021 FINAL 12-20 - Aetna. Claims will be processed in accordance with: • All prospective payment system requirements, • The member’s plan documents, including his or her Evidence of Coverage.

For Medicare Products Provider Dispute Inquiries HMO plans only: Contact the Provider Service Center at 1-800-624-0756. If you have questions or concerns about your health insurance coverage, we'd love to hear from you. Aetna Better Health of Kentucky is part of Aetna ®, one of the nation's leading health care providers and a part of the CVS Health ® family. LEXINGTON, KY 40512-4586, Attachment Mailing Address – PO Box 981106

Updated: 7/01/2021 Today, more than 225,000 children in 13 states receive high-intensity behavioral health programming and wraparound #60054 would be the payor id for most of the clearing house however double confirm the same with your clearing house. Additionally, Aetna recently implemented the new Supporting Kentucky Youth (SKY) Medicaid managed care program. Live-agent chat is the easiest and fastest way to get real-time support for an array of topics, including: Member Eligibility. If your practice management system requires you to enter a billing address, use the address listed below for the state in which you practice: State Provider Enrollment Provider Services (877) 838-5085 (M-F, 10:00 AM - 4:30 PM ET) Member Services . Aetna CareUnify is a Population Health Management system for healthcare providers and health plan resources to connect and manage patients' continuity of care through multiple care settings. •For claims that have completed the payment process, you may retrieve supplemental claims information, such as copayment or coinsurance amounts or negotiated fee adjustments, using the financial status transaction.

Found inside – Page 105Blue Cross and Blue Shield continued to collaborate with federal and state governments in providing healthcare benefits ... capital to better compete with commercial insurance companies, such as Aetna, Cigna, and the UnitedHealth Group.

Aetna Medicaid Administrators.

The ASAM Criteria is compliant with the DSM-5 and incorporates a user-friendly functionality. The ASAM criteria are a set of addiction placement criteria that have undergone numerous evaluations and studies of effectiveness.

• Precertification is recommended, but not required. Medical Billing Question and Answer – Terms, EVALUATION AND MANAGEMENT CPT code [99201-99499] – Full List, Internal Medical Billing Audit – how to do, CPT 93922, 93923, 93924, 93925- BILATERAL NONINVASIVE PHYSIOLOGIC STUDIES OF UPPER OR LOWER EXTREMITY ARTERIES. Search Remittances by Check/EFT Number Provider and Plan Users will now have an additional field in the Search Remittance function that will retrieve remittance results based on entering the complete Check/EFT Number. Phone: 502-852-6901 | Fax: 502-852-6056 View Map 1107 CROWN POINTE DR STE 107 ELIZABETHTOWN, KY 42701-7280 * Need more help with electronic claims submissions? LEXINGTON KY 40512-4100 800-424-4047, PO BOX 14586

Kentucky Medicaid, but billing procedures and coverage of some services may differ. Here's information on how to file a member complaint, grievance or appeal.

Multiple bills for each family member can be submitted with one claim form. Aetna

LEXINGTON KY 40512-4089 800-354-5835, PO BOX 14100

This type of complaint does not involve coverage or payment determinations. Fax Number: 1. Tampa Florida 33630

Treat total health. The authorized official title is Vice President And Secretary and has the following contact phone number (860) 273-1051. This book focuses on three of the main categories of myeloproliferative neoplasm: polycythemia vera, essential thrombocythemia, and primary myelofibrosis.

Provider Contact Information.

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