Aetna Better Health Virginia Claims

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File or Submit a Claim Aetna Medicaid Virginia

(6 days ago) WEBYou can also mail hard copy claims or resubmissions to: Aetna Better Health® of Virginia. P.O. Box 982974 El Paso, TX 79998-2974 Mark resubmitted claims clearly with “resubmission” to avoid denial as a duplicate. Mark resubmitted claims clearly with “resubmission” to avoid denial as a duplicate. CMS-1500 sample (PDF)

https://www.aetnabetterhealth.com/virginia/providers/file-submit-claims.html

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Member Portal and app Aetna Medicaid Virginia - Aetna Better …

(1 days ago) WEBWith our secure Member Portal, you can manage your Aetna Better Health® of Virginia plan benefits and easily change your doctor, get new ID cards, see your claim status, view your personal health history and more. Track …

https://www.aetnabetterhealth.com/virginia/member-portal.html

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Claims, Payment & Reimbursement – Health Care Professionals

(1 days ago) WEBAetna 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). Health benefits and health insurance plans contain exclusions and limitations. Get tools and guidelines from Aetna to help with submitting insurance claims and

https://www.aetna.com/health-care-professionals/claims-payment-reimbursement.html

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Cardinal Care Transition - Virginia

(9 days ago) WEBThe new cards include information about claims processing and contact information for members and providers. New Cardinal Care Plan First ID cards clearly reflect the program’s limited benefits coverage. Aetna Better Health of Virginia. 1-800-279-1878. https:

https://www.dmas.virginia.gov/for-providers/cardinal-care-transition/

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Contact Us MES - vamedicaid.dmas.virginia.gov

(7 days ago) WEBAssistance with claims status and adjudication inquires; Assistance with Member eligibility, covered services and limitations Virginia. 23219. Centers for Medicare and Medicaid Services (CMS) 1-800-633-4227. WAMS. Aetna Better Health of VA. 855-270-2365: Anthem HealthKeepers Plus. 833-207-3120: Molina Complete Care.

https://vamedicaid.dmas.virginia.gov/contact-us

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Aetna Better Health of Virginia Resources EviCore by Evernorth

(3 days ago) WEBAccess Claims Portal; Learn How To. Submit A New Prior Authorization; Find Contact Information; Podcasts; Misc. Go To Provider's Hub; Aetna Better Health of Virginia Cardiology and Radiology Code List - Effective 01/01/2024. CPT Codes Musculoskeletal. ABH VA Provider Orientation Presentation

https://www.evicore.com/resources/healthplan/aetna-better-health/virginia

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Understanding the impact of the Change Healthcare breach

(4 days ago) WEBUpdated. Change Healthcare, a subsidiary of UnitedHealth Group that processes claims on behalf of a large number of insurance payers, experienced a cyberattack on February 21st, 2024. After being made aware of the breach, Change Healthcare disconnected their systems to prevent further attack and to protect their partners and clients.

https://support.simplepractice.com/hc/en-us/articles/24687735524365-Understanding-the-impact-of-the-Change-Healthcare-breach

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Aetna update on Change Healthcare service interruption

(1 days ago) WEBUpdated April 25, 2024. On February 21, Change Healthcare took several of their services offline in response to a cyber security incident they experienced. As communicated before, this impacted certain Aetna business operations, and there remains no indication that Aetna’s systems have been compromised. With the Change Healthcare systems

https://www.aetna.com/content/dam/aetna/pdfs/aetnacom/healthcare-professionals/documents-forms/change-healthcare-service-interruption-faq.pdf

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AETNA BETTER HEALTH OF VIRGINIA

(4 days ago) WEBPayment Integrity Program Update. December 27, 2019. Dear Provider, Aetna Better Health of Virginia has expanded services with Equian, Cotiviti, and Optum to further enhance our payment integrity program in accordance with expectations set forth by our various state Medicaid partners. Equian will review claims for proper coding of facility

https://es.aetnabetterhealth.com/content/dam/aetna/medicaid/virginia/provider/pdf/Payment%20Integrity%20Program%20Update.pdf

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Contact Us for Providers Aetna Medicaid Virginia

(6 days ago) WEBAetna Better Health® of Virginia ATTN: Provider Relations PO Box 818044 Cleveland, OH 44181-8044 Still need support? If you’ve already tried the above service options and haven’t been able to resolve your question or issue, contact us.

https://es.virginia.aetnabetterhealth.com/virginia/providers/contact-us.html

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Contact Us - Health Care Providers - Aetna

(6 days ago) WEBContact us by phone The Aetna Service Centers help with benefits, claims, appeals, contracted rates, and many other questions. Medicare medical and dental plans - 1-800-624-0756 (TTY: 711) Non-Medicare plans, including individual and family plans - 1-888-MD AETNA (1-888-632-3862) (TTY: 711) Dental for non-Medicare plans - 1-800-451-7715 …

https://www.aetna.com/health-care-professionals/contact-aetna.html

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Fee For Service Claims and Appeals MES

(6 days ago) WEBThe purpose of this bulletin is to provide additional information and resources to ensure Medicaid providers file accurate claims, which will increase timely reimbursement.. How can providers prevent claim denials? Confirm member eligibility and bill the correct plan for the dates of service (i.e. fee for service or Cardinal Care Managed Care (“CCMC”) plan).

https://vamedicaid.dmas.virginia.gov/bulletin/fee-service-claims-and-appeals

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Monthly MCO Compliance Report - dmas.virginia.gov

(2 days ago) WEBAetna Better Health failed to process all Mental Health Services ( MHS) Service Authorizations within the required timeframe. Per the February 2024 data, there were two (2) expedited service authorization requests that did not require supplemental information and were not processed within 72 hours.

https://dmas.virginia.gov/media/kvsdmfou/hcs-compliance-report-for-january-and-february-2024-final.pdf

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Changes to Claims/Payment Process for Behavioral Health …

(9 days ago) WEBFrom: Cheryl J. Roberts, Director. The purpose of this bulletin is to inform Behavioral Health providers of actions they must take in order to continue to receive payments without interruption after November 1, 2023. Behavioral Health refers to both mental health (MH) and Addiction and Recovery Treatment Services (ARTS) providers.

https://vamedicaid.dmas.virginia.gov/bulletin/changes-claimspayment-process-behavioral-health-providers-effective-november-1-2023

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File or Submit a Claim Aetna Medicaid Michigan - Aetna Better …

(6 days ago) WEBYou can also mail hard copy claims or resubmissions: Medicaid: Aetna Better Health® of Michigan. PO Box 982863. El Paso, TX 79998-2963 Medicare-Medicaid (Aetna Better Health Premier Plan): Aetna Better Health of Michigan. PO Box 982963 El Paso, TX 79998-2963 Mark resubmitted claims clearly with “resubmission” to avoid denial as a …

https://www.aetnabetterhealth.com/michigan/providers/file-submit-claims.html

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Update to the Early Intervention Manual MES

(4 days ago) WEBMember eligibility, claims status, payment status, service limits, service authorization status, and remittance advice. 1-800-884-9730 or 1-800-772-9996. Provider Appeals. DMAS launched an appeals portal in 2021. You can use this portal to file appeals and track the status of your appeals. Aetna Better Health of Virginia

https://vamedicaid.dmas.virginia.gov/memo/update-early-intervention-manual

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Updates to the Temporary Detention Orders (TDOs) Supplement

(2 days ago) WEBMember eligibility, claims status, payment status, service limits, service authorization status, and remittance advice. https://vamedicaid.dmas.virginia.gov/ Medicall (Audio Response System) Member eligibility, claims status, payment status, service limits, service authorization status, and remittance advice. 1-800-884-9730 or 1-800-772-9996

https://vamedicaid.dmas.virginia.gov/memo/updates-temporary-detention-orders-tdos-supplement

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