Given that those customer complaints cover all of Aetna’s approximately 23 million policyholders in all areas of health insurance, that is a really low complaint volume. Through the provider manual, providers should be able to identify information on the majority of issues that may affect working with Aetna Better Health. Florida Healthy Kids Member Services: 1-844-528-5815 (TTY: 711) If you need to fax us, our toll-free fax number is (959) 888-4124. 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. Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies (Aetna). Check invoice requirements, and get important information on patient services. This program is designed to detect and eliminate health care fraud, waste and abuse. Thank you for your interest in participating as an Aetna Better Health ® of Illinois provider. Sunrise, FL 33323 : MMA 1-800-441-5501 : LTC 1-844-645-7371 . 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 … Aetna Health insurance plan Florida is here to get you out of trouble when applying for the best insurance coverage. Learning objectives. Enter your member ID or your email address and password to sign in. Select your state to contact an Ambetter representative in your service area. This provider manual serves as a resource to providers and outlines operations for Aetna Better Health. Page 2 – Definitions for DEG group data elements contained in Appendix. 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. Interpreter service You have the right for someone to help you with any communication issue you might have. 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. To confirm that we are participating with your specific health plan, please contact our call center by calling (813) 974-2201 or call our toll-free number (888) USF-DOCS / (888) 873-3627. Employee benefits in Aetna for Florida can be found under our Florida Small Business group plan. 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 800-846-5277. Providers can call the MA provider compliance hotline at 1-866-379-8477; Use the fraud and abuse reporting form below and submit online. Contact a health care professional with any questions or concerns about specific health care needs. Provider Services Email Address: FLMedicaidProviderRelations@aetna.com . 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. Create account. 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. If this is your first time visiting, you'll need to create an OTC Health Solutions account. Electronic Claims (EDI): Payor ID 128FL . Returning visitor? 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. Total number of Ophthalmologists on Doctor.com who Accept Aetna: 17446: Percentage of Aetna Ophthalmologists who are listed as "Board Certified" on Doctor.com: 100%: Aetna Ophthalmologists listed on Doctor.com have been practicing for an average of: 29.8 year(s) Average ProfilePoints™ score for Ophthalmologists who take Aetna: 46/80 Florida Medicaid and Healthy Kids Members. EIS Contact Person: Jennifer Morla EmailL morlaj@aetna.com Phone: 954-858-3314 . Aetna, the nation’s third-largest insurance provider with 23.1 million customers, told CNN it looked forward to “explaining our clinical review process” to the commissioner. Newly enrolled? Aetna Better Health of Florida P.O. 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. Please have your Tax ID Number (TIN) or National Provider Identifier (NPI) available. The most common types of health care fraud, waste and abuse … It's free. Aetna Medicare Open Plan (Private Fee-for-Service). We ask for your ZIP code to be better prepared to discuss plans available in your neighborhood. 2. Choosing the right health plan for yourself and your family is important. AETNA BETTER HEALTH ® OF FLORIDA Winter 2017 Your feedback helps us improve our quality Aetna Better Health of Florida works hard to give our members high-quality service. 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. If you have any questions, please reach out to your Provider Relations Representative. Phone * What can we help you with? Provider Name Doing Business As Name (DBA) Provider Address Street City 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. Position. widespread in the health care industry and generally result in the increase of health care costs. The company’s first president was Eliphalet A. Bulkeley. Dental. Welcome to the Aetna website for State of Florida employees and retirees. Provider Bulletin . 1340 Concord Terrace Sunrise FL, 33323 . Complete as much of … Date: January 10, 2018 . your health care provider for the advice and care appropriate for your specific medical needs. This provider manual serves as a resource to providers and outlines operations for Aetna Better Health. AETNA BETTER HEALTH ® OF FLORIDA Spring 2017 Welcome to Aetna Better Health® of Florida! Which health insurance company is better? 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 number on your Aetna ID card or log in to your member website at . Mail paper claims to: Aetna Better Health of Florida … 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 Aetna does not provide care or guarantee access to health services. Pharmacy. Coventry Health Care of Florida payor ID number is 55248. Contact a health care professional with any questions or concerns about specific health care needs. 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 . This majority of positive reviews is a good sign even though. Customer Service at 800-441-5501, email FLMedicaidProviderRelations@aetna.com , or fax 844-235-1340. AmeriHealth Caritas. In 1953 the life and health divisions of Aetna separated. Aetna Better Health of Florida - Medicaid 1340 Concord Terrace Sunrise, FL 33323 Hours: Monday – Friday, 8 a.m. – 7 p.m. Aetna Better Health of Florida to more accurately an d appropriately ad judicate services. California license number: OB84599. The Health Insurer website links are provided for your convenience and in accordance to Florida Statute 395.301. ", … Providers are independent contractors and are not agents of Aetna. 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. Aetna Better Health of Florida is dedicated to ighting fraud, waste and abuse through its Fraud Prevention Program. Aetna has also received a high proportion of 1-star reviews. 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). 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. 888-632-3862. Request an Appointment. Information is believed to be accurate as of the production date; however, it is subject to change. Important Contacts Phone Number Facsimile Hours and Days of Operation (excluding State holidays) Aetna Better Health Premier Plan 1-866-600-2139 (follow the prompts in order to reach the appropriate departments) Individual departments are listed below 8 a.m.-5 p.m. CT Monday-Friday Aetna Better Health of Illinois Prior Authorization Department You’ll see how the plan extras can add up to better care, more options, and lower costs. 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. 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 … Our address is: Aetna Better Health of Florida 8200 NW 41st Street, Suite 125 Doral, FL 33166. 24/7 access to healthcare and medical advice by phone, video or app. Health Details: Aetna Better Health Florida Provider Orientation. Aetna address and Provider Phone Number. Coventry Health Care of Florida is now Aetna Better Health of Florida. Aetna is not a provider of health care services and, therefore, cannot guarantee any results or outcomes. Aetna Provider Phone Number for below plans - … It is important that we measure our performance to make sure that we are meeting your needs. Box 63518 Phoenix, AZ 85082-3518. 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. Area of Practice and/or Physician Specialty * Phone Number - - * Email Address * Preferred Method of Contact Email. Medicaid and Comprehensive Long Term Care Provider Manual. Keeping you healthy is our number one goal. Recently Aetna and Coventry came together as one company. Welcome Aetna Better Health of Florida members. Find a provider, access member benefit information including handbooks, claims information and more. There is a total of 568 customer complaints on file in the past three years. 888-913-0364 ... • Your Member ID number (from your Aetna Better Health card) • The reason why you are iling the How Aetna stacks up. Participating physicians, hospitals and other health care providers are independent contractors and are neither agents nor employees of Aetna. When compared to competitors, Aetna has above-average financial ratings and fewer-than-average customer complaints. This site will soon redirect to our new online home where you’ll find access to our online scheduling, expanded resources, and important information. Aetna Better Health. Aetna Better Health Florida Provider Orientation. 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. Aetna is not a provider of health care services and, therefore, cannot guarantee any results or outcomes. The right care when you need it most. Box 7808 London, KY 40742 Providers are encouraged to use EDI claims submission. Dental benefits are offered, underwritten and/or administered by Aetna Life Insurance Company (Aetna). 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. Provider participation may change without notice. Patients will continue to receive the same comprehensive and compassionate care with the same insurance coverage. Original review: Nov. 14, 2020. 1-844-528-5815 Claim Form: CMS1500 . You can also reach us from 8am-8pm EST at 1-877-687-1169 (Relay Florida 1-800-955-8770). It’s easy. Aetna Better Health of Florida 8200 NW 41st Street, Suite 125 Doral, FL 33166 . Newly enrolled? Aetna Student Health Agency Inc. is a duly licensed broker for student accident and health insurance in the Commonwealth of Massachusetts. 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). 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). Providers are independent contractors and are not agents of Aetna. eviCore will manage radiology services for Aetna Better Health Medicaid, CHIP and Florida Healthy Kids. Aetna Better Health of Kentucky is not responsible or liable for non-Aetna Better Health content, accuracy, or privacy practices of linked sites, or for … To get an interpreter in (your language), first call your health plan's phone number at 1-800-428-6337. Inova and Aetna have partnered to transform the patient health care journey. * 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. If you have any questions, please reach out to your Provider Relations Representative. This policy will be e ffective June 2 7, 2017. Aetna Better Health FIDA Plan is a managed care plan that contracts with both Medicare and the New York State Department of Health (Medicaid) to provide benefits of both programs to Participants through the Fully Integrated Duals Advantage (FIDA) Demonstration. Aetna Provider Web Portal Instructions 02-01-16 ... Aetna Quick Reference Guide 02-01-16. 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. CONFIDENTIALITY NOTICE: EIS Contact Person: Aetna has selected National Imaging Associates, Inc. (NIA) to provide utilization management for physical medicine. Aetna also offers Medicare Advantage plans, or Medicare Part C and MA plans, which are private insurance policies. It has received a majority of positive reviews on Best Company. Aetna provides certain management services to Banner|Aetna. Always be honest with your health care team. Aetna Better Health of Florida is dedicated to fighting fraud, waste and abuse through its Fraud Prevention Program. Participating Provider ‑ health professionals, hospitals, other facilities, pharmacies, medical supply
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