Medical Claims and Billing Assistance

In-Network

If you receive a bill for covered services from an Aetna provider, please do the following:

  • Make a copy of your Aetna ID card (front and back) and a copy of the bill. Send a copy of both to the provider who is sending you the bill. This will alert the provider to bill the insurance company. Provide an explanation of the issue.
  • Follow the same steps as above, but mail the information to the Aetna claims address on the back of your ID card. Provide an explanation of the issue.

Out-of-Network

If you are in the POSII HRA or experience an emergency and receive a bill for covered services from an out-of-network provider, please do the following:

  • Complete the claim form located here.
  • Send Aetna a copy of your Aetna ID card and a copy of the itemized bill. When filing a claim you will need to provide: member ID, billed charges, patient date of birth, procedure code(s), diagnosis code(s), provider name and address or tax ID, and indicate on the bill if the charges were paid.

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