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This document is an application for the Aetna Quick Charge Billing Plan, allowing automatic withdrawal of premiums for Aetna Medicare-related plans from a bank account or charging to a credit card.
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How to fill out aetna quick charge billing
How to fill out Aetna Quick Charge Billing Authorization Application
01
Obtain the Aetna Quick Charge Billing Authorization Application from the Aetna website or your local Aetna office.
02
Fill out the applicant's personal information including name, address, and contact details.
03
Provide insurance policy details such as policy number and group number.
04
Indicate the billing frequency preferred (e.g., monthly, quarterly).
05
Complete the section for payment method preferences, e.g., credit card or bank transfer details.
06
Include the signature of the applicant to authorize billing.
07
Submit the completed application to Aetna via the provided submission method (fax, email, or mail).
Who needs Aetna Quick Charge Billing Authorization Application?
01
Individuals who have an Aetna insurance policy and wish to set up automatic billing.
02
Healthcare providers who are managing patient billing through Aetna's Quick Charge system.
03
Any current Aetna members seeking a convenient way to handle their premium payments.
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People Also Ask about
What is the phone number for Aetna billing?
If I am currently covered under an Aetna Advantage plan, who do I contact for billing questions? HMO members can contact Aetna at 1-800-435-8742. PPO members can contact Aetna at 1-866-565-1236.
What is the phone number for Aetna referral authorization?
If entered correctly, please call the appropriate number below and select the option for precertification: 1-888-MD-AETNA (1-888-632-3862) (TTY: 711) for calls related to indemnity and PPO-based benefits plans. 1-800-624-0756 (TTY: 711) for calls related to HMO-based benefits plans.
Where to submit Aetna prior authorization?
To initiate a request, submit electronically on Availity or call our Precertification Department. Submit your medical records to support the request with your electronic submission. We've made it easy for you to authorize services and submit any requested clinical information. Just use our provider portal on Availity®.
Does Aetna use eviCore for authorization?
When service is required due to a medically urgent condition, the rendering (treating) provider/office must call eviCore healthcare at 888-622-7329 for authorization or use the web portal.
How to submit a prior authorization to Aetna?
To initiate a request, submit electronically on Availity or call our Precertification Department. Submit your medical records to support the request with your electronic submission. We've made it easy for you to authorize services and submit any requested clinical information. Just use our provider portal on Availity®.
How do I update my Aetna billing information?
You can do this in the portal under “View or Update Billing Information” or by calling customer service at 855-837-6453 (dental) or 855-804-2410 (vision). I would like to get a refund. Please contact 855-837-6453 (dental) or 855-804-2410 (vision). I have a billing question.
What items are needed to submit a prior authorization request?
Most insurance companies have specific forms that must be filled out and filed as part of the Prior Authorization procedure. Find those papers and complete them. You may get these forms on the insurance provider's website or by contacting them directly.
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What is Aetna Quick Charge Billing Authorization Application?
Aetna Quick Charge Billing Authorization Application is a form used by healthcare providers to obtain authorization for charging patients directly for services provided under Aetna's insurance plans.
Who is required to file Aetna Quick Charge Billing Authorization Application?
Healthcare providers who wish to bill patients directly for their services under Aetna's insurance agreements are required to file this application.
How to fill out Aetna Quick Charge Billing Authorization Application?
To fill out the Aetna Quick Charge Billing Authorization Application, providers must complete all required fields accurately, including details about the patient, the services provided, and the provider's information, and then submit it according to Aetna's submission guidelines.
What is the purpose of Aetna Quick Charge Billing Authorization Application?
The purpose of the Aetna Quick Charge Billing Authorization Application is to streamline the billing process for providers, allowing them to charge patients directly for services while ensuring compliance with Aetna's billing policies.
What information must be reported on Aetna Quick Charge Billing Authorization Application?
The application must report information such as patient details (name, insurance ID), provider details (name, NPI number), services rendered, charges, and any other relevant billing information as stipulated by Aetna.
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