Aetna Better Health of Florida Attention:Medicaid Utilization ManagementAdministration Hurricane Irma Expedited Records 1340 Concord Terrace Sunrise FL, 33323 Should you have questions orrequire additional information,please contact ProviderRelations at800-441- 5501, email FLMedicaidProviderRelations@aetna.com, orfax 844-235-1340. Aetna is not a provider of health care services and, therefore, cannot guarantee any results or outcomes. We will contact you within 2 business day to confirm your request, or to discuss alternative dates and times. Contact a health care professional with any questions or concerns about specific health care needs. Enter your member ID or your email address and password to sign in. As part of your Aetna Better Health of Florida’s monthly claims training, we will • Review telemedicine service and billing requirements • Explain negative balance report and recoveries • Discuss EVV (electronic visit verification) submissions • Review of obstetrical codes and billing Processed within 15-30 days of receipt. Electronic Remittance Advice (ERA) Authorization Agreement . We want to work with you to provide timely, safe and effective health care to our members. Area of Practice and/or Physician Specialty * Phone Number - - * Email Address * Preferred Method of Contact Email. Aetna is an especially good fit for Medicare beneficiaries, employers, and individuals qualifying for Medicaid. Learn more about our health insurance resources for providers. Box 63518 Phoenix, AZ 85082-3518. CONFIDENTIALITY NOTICE: Home | Aetna Better Health of Florida. Box 63578 Phoenix, AZ 85082-1925 This program is designed to detect and eliminate health … Aetna has selected National Imaging Associates, Inc. (NIA) to provide utilization management for physical medicine. Proprietary. Aetna Better Health Florida Provider Orientation. EIS Contact Person: Jennifer Morla EmailL morlaj@aetna.com Phone: 954-858-3314 . Aetna Better Health of Michigan FINANCE Important Aetna Better H ealth of Michigan numbers Prior-authorization 1-866-874-2567 (TTY:711) Claims Inquiry Claims Research (CICR) 1-866-314-3784 (TTY:711) Member Services 1-866-316-3784 (TTY: 711) Provider Experience E-mail address 1 … If you have questions or concerns about your health insurance coverage, we'd love to hear from you. See all legal notices Coventry Health Care of Florida payor ID number is 55248. Providers are independent contractors and are not agents of Aetna. Contact: Kim Tulsky. Someone who speaks (your language) can help you. Aetna is a common health insurance in Florida, and individuals who have Aetna may wish to find therapists who are in-network with their health insurance. Page 2 – Definitions for DEG group data elements contained in Appendix. Aetna offers a suite of products and member benefits, including an online portal and health- tracking apps that allow policyholders to better manage their health. This provider manual serves as a resource to providers and outlines operations for Aetna Better Health. Provider services fax: 1‑844‑235‑1340 . Health Details: Medicaid 1-800-441-5501 Comprehensive Long Term Care 1-844-645-7371 Florida Healthy Kids 1-844-528-5815 .Aetna Better Health supports Florida KidCare families’ efforts to fight the teen vaping epidemic. With the two Florida Benefit Option Plans from Aetna, you will get health plan choices, along with award winning customer service that always puts you first. We are working extra hard for the health of state employees like you. For Health Care Providers Aetna Medicaid Maryland. Providers are independent contractors and are not agents of Aetna. Claims/billing address . Please note that if you have public insurance/ medicaid, you will need to switch from your current provider to Dr. Yulanda Swindell. Find a provider, access member benefit information including handbooks, claims information and more. Florida Medicaid and Healthy Kids Members. This provider manual serves as a resource to providers and outlines operations for Aetna Better Health. Aetna Better Health of Florida – Florida Healthy Kids Provider Manual. Company Highlights 4Kemployees including 1K clinicians 100M members ... Or by phone: 888.693.3211 7:00 a.m. to 8:00 p.m. (CST) ... Aetna Better Health Implementation site - includes all implementation documents: Original review: Nov. 14, 2020. Quick Reference Guide. The overall rating of the company is 1.4 and consumers are mostly dissatisfied.. Health Details: Aetna Better Health Florida Provider Orientation. ... At AdventHealth our commitment to whole-person care means we’re here to provide you with the care and resources you … AETNA BETTER HEALTH ® OF FLORIDA Spring 2017 Welcome to Aetna Better Health® of Florida! You can also reach us from 8am-8pm EST at 1-877-687-1169 (Relay Florida 1-800-955-8770). A Pinellas County Therapist who accepts Aetna, may be in network with Aetna, or you can make a claim on your Aetna insurance as an out of network Aetna provider. This will decrease the administrative burden of sending these claims to multiple locations. Provider participation may change without notice. ... • Your Member ID number (from your Aetna Better Health card) • The reason why you are iling the Provider Name Doing Business As Name (DBA) Provider Address Street City Aetna was first mentioned on PissedConsumer on Jan 14, 2008 and since then this brand received 424 reviews.. Aetna ranks 209 of 1104 in Insurance category. As of 3/27/17 Aetna Better Health of Florida (ABHF) providers do not have to submit crossover claims to our Translation Services . ", … Provider Bulletin . Aetna Better Health of Illinois Prior Authorization Department See Program Numbers Above and Follow the Prompts 1-855-684-5259 8 am -5 pm CT - Monday -Friday Aetna Better Health of Illinois Compliance Hotline (Reporting Fraud, Waste or Abuse) 1-855-478-1041 N/A 24 hours / 7 days per week through Voice Mail inbox Aetna Better Health Aetna Better Health® of Florida Spring 2018 Eat smart for better blood pressure ... Be sure you talk with your health care provider about when to get screenings. This policy will be e ffective June 2 7, 2017. Aetna Medicare Open Plan (Private Fee-for-Service). Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies, as well as Aetna Life Insurance Company and its affiliates (Aetna… There is a total of 568 customer complaints on file in the past three years. Please indicate below if … When you see a therapist who is in-network with Aetna, each session you’ll pay only a copay, which typically ranges from $0-$75/session. CONFIDENTIALITY NOTICE: 1340 Concord Terrace Sunrise FL, 33323 . 261 N. University Drive Plantation, FL 33324 Phone: 1-844-645-7371 Fax 1 -844-235-1340 . Total number of Cardiologists on Doctor.com who Accept Aetna: 22947: Percentage of Aetna Cardiologists who are listed as "Board Certified" on Doctor.com: 100%: Aetna Cardiologists listed on Doctor.com have been practicing for an average of: 29.7 year(s) Average ProfilePoints™ score for Cardiologists who take Aetna: 46/80 To speak with someone about your bill, or to pay over the phone, you can give one of our Patient Financial Services departments a call at one of the numbers below AdventHealth Altamonte Call 407-303-0500 Medicaid and Comprehensive Long Term Care Provider Manual. Health Details: Mail Aetna Better Health of New Jersey 3 Independence Way, Suite 400 Princeton, NJ 08540-6626. Advantra Freedom. Florida Behavioral Health is now LifeStance Health! Sarah earned her Master of Arts degree in Health Psychology at Northern Arizona University and her Master of Social Work degree at Florida Atlantic University, studying resilience and treatment compliance, and working with individuals with diabetes, weight goals, aging, care-giving, depression, and anxiety. H8056_14_101R CMS Approved 01/29/2015 Last Updated 04/18/2016. At Aetna Better Health ® of Maryland, we’re changing the way people get Medicaid coverage; We bring our national health care experience to our members’ communities; On this page, you’ll find resources for physicians, administrators and health care professionals who are part of our network. number on your Aetna ID card or log in to your member website at . Each insurer has sole financial responsibility for its own products. Ambetter from Sunshine Health - Florida: 68069: 1301 International Parkway, Suite 400, Sunrise, FL 33323: Ambetter Sunshine Health Member and Provider Services Phone Number: 877-687-1169: Ambetter from Superior HealthPlan - Texas: 68069: 5900 E. Ben White Blvd. Provider Authorizations. Returning visitor? Policy forms issued in Idaho include: GR-9/GR-9N, GR-23, GR-29/GR-29N. Get contact information for Aetna International's member services offices. With the exception of Aetna Rx Home Delivery, all participating physicians, hospitals and other health care providers are independent contractors and are neit her agents nor employees of Aetna. Should you have questions, or require additional information please contact your Provider Relations Representative at . Aetna Health insurance plan Florida is here to get you out of trouble when applying for the best insurance coverage. Starting January 1, 2021, the Department of Management Services is offering all State of Florida members coverage for AvMed Virtual Visits powered by MD Live. How soon a patient schedules their first appointment largely depends on their responsiveness, location, availability, and type of provider required. Position. The Health Insurer website links are provided for your convenience and in accordance to Florida Statute 395.301. Please note: Florida Statute 641.3154(4) states that “A provider or any representative of a provider, regardless of whether the provider is under contract with the health maintenance organization, Aetna was acquired by CVS Health in 2018, but still provides employer health plans to residents of all 50 U.S. states. Through the provider manual, providers should be able to identify information on the majority of issues that may affect working with Aetna Better Health. Department of Human Services NJ FamilyCare Health Plans. 888-632-3862. Coventry (Including workers compensation and auto injury) 800-937-6824. Customer Service at 800-441-5501, email FLMedicaidProviderRelations@aetna.com , or fax 844-235-1340. Find a Provider Contact About us Register as Member Register as Provider A Florida Treatment Center who accepts Aetna, may be in network with Aetna, or you can make a claim on your Aetna insurance as an out of network Aetna provider. Please know that it may take 2-3 business days for us to email you back. Aetna Better Health of Florida Attention:Medicaid Utilization ManagementAdministration Hurricane Irma Expedited Records 1340 Concord Terrace Sunrise FL, 33323 Should you have questions orrequire additional information,please contact ProviderRelations at800-441- 5501, email FLMedicaidProviderRelations@aetna.com, orfax 844-235-1340. This material is for information purposes only. Member services fax: 1‑877‑542‑6958 . If you don’t have your account yet, setting it up is quick and easy –get started now! Subject: Prior Authorization Requirements. Since 1853, Aetna has been in the health insurance business and today serves more than 14.8 million medical members which includes 13.1 million in dental, 9.4 million … For more information on what to expect next, log into your Online Member Account.. You do not have to do anything. 800-451-7715. Provider Services Email Address: FLMedicaidProviderRelations@aetna.com . Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies, including Aetna Life Insurance Company and its affiliates (Aetna). This change will be effective April 1 st, 2021. Aetna Better Health. Your Aetna health plan gives you 24/7 access to virtual care by U.S. board-certified providers. Find a doctor, request a Member ID card or change your Primary Care Physician (PCP) at any time, from anywhere. Aetna Student Health Agency Inc. is a duly licensed broker for student accident and health insurance in the Commonwealth of Massachusetts. This majority of positive reviews is a good sign even though. Aetna Rx Home Delivery, LLC, is a subsidiary of Aetna Inc. Provider participation may change without notice. your health care provider for the advice and care appropriate for your specific medical needs. What is Cigna and Aetna Insurance Rating? ‑ the parts of Florida where Aetna Better Health ofers the Healthy Kids Program. The good thing is that Aetna is accepted most places. Contact: TBD. In the 2019–2020 ratings, Aetna subsidiaries scored between 2.5 out of 5 for the Medicare-Medicaid plans such as Aetna Better Health of Michigan and Aetna Better Health of … Thank you for being part of the Aetna Better Health … * Provider Contact * First Name * Last Name. At Aetna Better Health of Florida, we value our provider partners. The company’s first president was Eliphalet A. Bulkeley. Pharmacy. Dental benefits and dental insurance plans are underwritten by Aetna Dental Inc., Aetna Dental of California Inc., and Aetna Health Inc. and/or Aetna Life Insurance Company (Aetna). Coventry and Aetna Better Health In 2013, Aetna acquired Coventry Health Care, Inc., making the combined organization the third largest health care benefits company in America, based on Membership, serving an estimated 22 million medical members. We are committed to making sure our providers receive the best and latest information, technology and tools available to ensure their success and their ability to provide for our members. 800-238-6279. Home; Plan Phone Numbers; Plan Phone Numbers Health Plans; Aetna Better Health. Effective 02/27/2017, Coventry Health Care of Florida Medicaid/Aetna Better Health of Florida members If you have any questions about your Aetna Medicare Advantage plan or how to find Aetna network providers, you can contact Aetna Customer Service at 1-800-282-5366 (TTY: 711), 8 a.m. to 8 p.m., local time, seven days a week, from October 1 – February 14 and 8 a.m. to 8 p.m., local time, Monday – Friday, from February 15 – September 30. Beginning September 1, 2018, for Delaware, New York, Pennsylvania and West Virginia, providers must request prior authorization for physical therapy, occupational therapy and chiropractic services through NIA at RadMD.com. Request an Appointment. 151 Farmington Avenue, Hartford, CT 06156. ... Health plan main office Provider & member services phone numbers 1340 Concord Terrace . Aetna Better Health of Florida P.O. Resources Aetna Provider Phone Number; Aetna Credentialing: Customer Service Department 800-353-1232 (Medical and Behavioral Health) 800-451-7715 (Dental) Information is believed to be accurate as of the production date; however, it is subject to change. Aetna provides certain management services to Banner|Aetna. Together, we are combining strengths to give you the same customer service—plus much more. Aetna Provider Web Portal Instructions 02-01-16 ... Aetna Quick Reference Guide 02-01-16. Page 5 - To be used for completing the Electronic Aetna does not provide care or guarantee access to health services. • Home Health Agencies will be required to report any If you have any questions, please reach out to your Provider Relations Representative. Fraud, waste and abuse are part of the health care industry and may result in the increase of health care costs. Provider intake questions Please answer these questions in order for us to have a better understanding of what services you provide and your location, as well as other pertinent information that’s needed for the contracting process. Aetna Better Health of Florida Medicaid Provider Manual ... Aetna Better Health of Florida offers a full range of risk and fee-based managed care products and services including HMO, PPO and POS, Medicare Advantage, ... CVS Mail Order Phone Number : 1-855-271-6603 : Pharmacy Helpdesk Number … HMO and Medicare Advantage - 1-800-624-0756 (TTY: 711) Indemnity and PPO-based plans - 1-888-MD AETNA (1-888-632-3862) (TTY: 711) Voluntary plans - 1-888-772-9682 (TTY: 711) Worker's comp - 1-800-238-6288 (TTY: 711) ASA and Meritain - use phone number on member's ID card Check invoice requirements, and get important information on patient services. Aetna Better Health of Florida to more accurately an d appropriately ad judicate services. ... At AdventHealth our commitment to whole-person care means we’re here to provide you with the care and resources you … Health benefits and health insurance plans contain exclusions and limitations. Complete as much of … Hours of operation Provider & member services fax numbers ; ... Pharmacy helpdesk number Web portal . We can assist you with this switch once you submit this form. HAP Midwest Health Plan, Inc. widespread in the health care industry and generally result in the increase of health care costs. This policy will be e ffective June 2 7, 2017. About Aetna Better Health For 30 years, Aetna Medicaid has honed our approach to serving high-acuity, medically frail and low-income populations with diverse benefits. Phone * What can we help you with? How Aetna stacks up. Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies (Aetna). The right care when you need it most. aetna.com. Thank you for your interest in participating as an Aetna Better Health ® of Illinois provider. I have Aetna Max Choice Gold with a high deductible. 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. Phone: 1-855-528-5815 . Coventry Health Care of Florida Attn: Claims Department Coventry Health Care of Florida P.O. Choose a AdventHealth location to contact. Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies Aetna. Choose a AdventHealth location to contact. This program is designed to detect and eliminate health care fraud, waste and abuse. This site will soon redirect to our new online home where you’ll find access to our online scheduling, expanded resources, and important information. Participating Provider ‑ health professionals, hospitals, other facilities, pharmacies, medical supply Aetna Better Health of West Virginia is dedicated to fighting fraud, waste and abuse through its Fraud Prevention Program. Aetna Better Health of Florida - Medicaid 1340 Concord Terrace Sunrise, FL 33323 Hours: Monday – Friday, 8 a.m. – 7 p.m. Keeping you healthy is our number one goal. Newly enrolled? Health Aetnabetterhealth.com Get All ››. The Better Business Bureau (BBB) gives Aetna, Inc. an A+ rating. Fax: 1-855-799-2554 . ©2020 Aetna Inc. Phone Number * Email Address * Date of birth: * + Insurance information. Aetna Better Health of Florida P.O. ... help you make decisions and better manage your health care expenses. [USA] Serves the group health, workers' compensation, and state public program markets in addition to offering claims services and clinical management. DEG1 PROVIDER INFORMATION. If you have questions regarding a specific health plan’s network information in the provider directory or about what is covered, you may contact them directly at: Aetna Better Health of Florida – 1-844-528-5815, Website; Community Care Plan – 1-866-930-0944, Website You’ll see how the plan extras can add up to better care, more options, and lower costs. Our address is: Aetna Better Health of Florida 8200 NW 41st Street, Suite 125 Doral, FL 33166. How can I initiate a prior authorization request? Products: Florida Medicaid / Florida Healthy Kids Created By: Provider Relations - Medicaid Coventry Health Care of Florida Medicaid/Aetna Better Health of Florida and eviCore healthcare are pleased to announce their partnership. The most common types of health care fraud, waste and abuse … For more information on what to expect next, log into your Online Member Account.. This program is designed to detect and eliminate health care fraud, waste and abuse. If you're a health care provider and need to contact Aetna International in regard to online transactions, claim status enquiries and form requests, contact us via email or the secure provider website here. I consent to receive autodialed marketing calls from or on behalf of Aetna about health insurance. ET Toll Free Number: 1-800-441-5501 Provider Services Fax: 1-844-235-1340 Prior Authorizations Fax: 1-860-607-8056 Provider Services Email Address: FLMedicaidProviderRelations@aetna.com EIS Contact Person: Jennifer Morla We have accredited insurance agents who have worked with different and many coverage options and can direct you on the consumer health insurance decision making. By clicking “Submit”, I affirm that I am a member of Aetna Better Health. You can also confirm if the provider or specialty is covered by calling your health care plan directly. Welcome Aetna Better Health of Florida members. What’s NEW? 7265 Aetna Better Health of Florida 6140 Aetna Better Health of Illinois MMAI 8861 Aetna Better Health of Illinois ... if a Rendering Provider NPI is put on a service line, the Rendering provider name must be provided ... • Do not use dashes for the phone number or an extended zip code. Inova and Aetna have partnered to transform the patient health care journey. It's free. To request a printed copy of any information on our website or in print (including member materials, such as the member newsletter or handbook), please call Member Services at the phone number listed above. Aetna Better Health of Florida - Medicaid 1340 Concord Terrace Sunrise, FL 33323 Hours: Monday – Friday, 8 a.m. – 7 p.m. Aetna earned a 4 out of 5-star rating in our annual review of Best Health Insurance Companies. Aetna Better Health of Florida 8200 NW 41st Street, Suite 125 Doral, FL 33166 . AETNA BETTER HEALTH ® OF FLORIDA. As an Ambetter network provider, you can rely on the services and support you need to deliver the highest quality of patient care. Box 7808 London, KY 40742 Providers are encouraged to use EDI claims submission. Providers are independent contractors and are not agents of Aetna. questions by reaching them via email at: FLMedicaidContracting@aetna.com Thank you Provider Relations Contracting Department Aetna Better Health of Florida Telephone: 1-800-441-5501 Fax: 1-860-262-9414 E-mail: FLMedicaidContracting@aetna.com It is important that we measure our performance to make sure that we are meeting your needs. Aetna Better Health of Florida - Medicaid 1340 Concord Terrace Sunrise, FL 33323 Hours: Monday – Friday, 8 a.m. – 7 p.m. Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies (Aetna). Mail paper claims to: Aetna Better Health of Florida … Aetna Behavioral Health refers to an internal business unit of. Claim Form: CMS1500 . FHK 1-844-528-5815 . When compared to competitors, Aetna has above-average financial ratings and fewer-than-average customer complaints. Aetna Better Health of Florida has developed the technology to look across claim types during claims adjudication which will allow Aetna Better Health of Florida to correctly adjudicate claims where conflicts would normally exist between Professional (CMS- 1500) claims and Institutional (CMS- 1450) claims. To request an appointment, complete the following form. x_Number» From: Provider Relations Date: August 22, 2016 Re: Pages: 5 pages with cover Notes: We appreciate your participation in the Aetna Better Health of Kentucky provider network. Frequently Asked Questions The UM staff is available to discuss specific cases or UM questions by phone by calling 1-800-441-5501(Medicaid), 1-844-645-7371 (Comprehensive Long Term Care), or 1-844-528-5815 (Florida Healthy Kids); TTY 711 from 8:00 a.mEastern.UM Staff is available on holidays and weekends by voice mail and fax. Provider … AETNA BETTER HEALTH® Mobile application user guide With the Aetna Better Health application, you can get on demand access to the tools you need to stay healthy. Always be honest with your health care team. Electronic Claims (EDI): Payor ID 128FL . Through the provider manual, providers should be able to identify information on the majority of issues that may affect working with Aetna Better Health. Aetna Better Health of West Virginia currently serves 160,000 members across the state through the Mountain Health Trust and Mountain Health Promise managed care programs. ET Toll Free Number: 1-800-441-5501 Provider Services Fax: 1-844-235-1340 Prior Authorizations Fax: 1-860-607-8056 Provider Services Email Address: FLMedicaidProviderRelations@aetna.com . If you would like to receive more information on becoming a provider within our network or would like to receive a contract, please contact us at 1-877-687-1169. Therapists In-Network with Aetna in Florida. The Health Insurer website links are provided for your convenience and in accordance to Florida Statute 395.301. Coventry Health Care of Florida is now Aetna Better Health of Florida. IMPORTANT: You can get an interpreter at no cost to talk to your doctor or health plan. Our advanced search helps you find the right provider for you. Aetna Provider Phone Number for below plans - … Patients will continue to receive the same comprehensive and compassionate care with the same insurance coverage. Participating physicians, hospitals and other health care providers are independent contractors and are neither agents nor employees of Aetna. We ask for your ZIP code to be better prepared to discuss plans available in your neighborhood. SMMC Plan Contact: Provider Networks Updated 5/5/2021 Plan Name Provider Relations Contact Aetna Better Health Elba M. Tapanes Email:TapanesE@aetna.com Phone: 786 -209 -5362 Children’s Medical Services Plan Amanda Firth Email: sunshinecontracting@centene.com Phone: 866-595-8116 Community Care Plan Patricia Cleary Massachusetts license number: 10041444. Banner Health and Aetna Health Insurance Company and Banner Health and Aetna Health Plan Inc. are affiliates of Banner Health and, of Aetna Life Insurance Company and its affiliates (Aetna). Aetna offers affordable private health insurance options that include preventive care, hospitalization, office visits, immunizations, and other types of essential health …

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