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Health Insurance Forms for Individuals & Families - Aetna

    https://www.aetna.com/individuals-families/using-your-aetna-benefits/find-form.html
    For those that previously received their Form 1095-B in the mail, you can receive a copy of your Form 1095-B by going out to the Aetna Member Website in the “Message Center” under the “Letters and Communications” tab or by sending us a request at Aetna PO …

Forms and applications for Health care professionals …

    https://www.aetna.com/health-care-professionals/health-care-professional-forms.html
    Find forms and applications for health care professionals and patients, all in one place. Address, phone number and practice changes. Behavioral health precertification. …

Contact Aetna

    https://www.aetna.com/about-us/contact-aetna.html
    Call us. 1-800-US-AETNA ( 1-800-872-3862) (TTY: 711) between 8:00 AM and 6:00 PM ET. This is the phone number for the Corporate Contact Center. They do not have access to …

Contact Us - Health Care Providers | Aetna

    https://www.aetna.com/health-care-professionals/contact-aetna.html
    Independent non-retail pharmacies - such as long-term care facilities, home infusion pharmacies, and mail order pharmacies - can call one of the phone numbers below to …

Medical Benefits – Claim Instructions - Aetna

    https://www.aetna.com/docfind/cms/assets/pdf/avp/Medical_Claim_Form.pdf
    9. Send the completed benefits request and the bills to: SRC, an Aetna Company Fax to: 1-859-455-8650 Attn: Claim Department Phone: 1-888-772-9682 PO Box 14079 Lexington, …

Coordination of Benefits - Aetna

    https://www.aetna.com/document-library/healthcare-professionals/documents-forms/online-cob-form.pdf
    If yes, provide the following for each family member with Medicare. You can return this form to us by fax or mail: Aetna PO Box 981106 El Paso, TX 79998-1106 Fax: (866) 474-4040 …

Fillable Medical Benefits Request (Aetna Health Insurance)

    https://fill.io/Medical-Benefits-Request-Aetna-Health-Insurance
    Use Fill to complete blank online AETNA HEALTH INSURANCE pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are …

Medical Benefits Request PO Box 14079 Lexington, …

    https://www.aetna.com/docfind/cms/assets/pdf/aahc/Medical_Claim_Form.pdf
    Medical Benefits Request Strategic Resource Company PO Box 14079 Lexington, KY 40512-4079 Internal Use Category Code TMSE0225 Office Key Code 039 GC-7-40 (2 …

Precertification Information Request Form - Aetna

    https://www.aetna.com/document-library/pharmacy-insurance/healthcare-professional/documents/precert-information-request-form.pdf
    Precertification Information Request Form Fax to: Precertification Department. Fax number:1-833-596-0339. Section 1: Provide the following general information for all …

Get Aetna Medical Benefits Request Form - US Legal …

    https://www.uslegalforms.com/form-library/285855-aetna-medical-benefits-request-form
    Get Aetna Medical Benefits Request Form How It Works Open form follow the instructions Easily sign the form with your finger Send filled & signed form or save x-ray …



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