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Aetna Direct: N6 Summary of Benefits and Coverage Period: 01/01/2015 12/31/2015 Coverage for: Self Only or Self and Family Plan Type: PPO This is only a summary. Please read the FEB Plan brochure
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How to fill out Aetna Direct N6 summary:
01
Carefully review the Aetna Direct N6 summary form provided by your healthcare provider.
02
Fill in your personal details accurately, including your name, address, and contact information.
03
Provide your Aetna Direct plan details, including the plan name and identification number.
04
Indicate the period for which the summary is applicable, such as the start and end dates.
05
List all the healthcare services and procedures you received during the specified period.
06
Include the dates on which each service was rendered and any corresponding medical codes or descriptions.
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Specify the healthcare provider or facility where you received each service or procedure.
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Sign and date the Aetna Direct N6 summary form before submitting it to the relevant party.
Who needs Aetna Direct N6 summary:
01
Individuals who are enrolled in Aetna Direct health insurance plan.
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Patients who have received healthcare services from providers that accept Aetna Direct insurance.
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Individuals who need to submit claims or provide a summary of their services and expenses to Aetna Direct for reimbursement or record-keeping purposes.
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