#Aetna timely filing limit 2015 plus

This was well within your timely filing deadline. On (original submission date) we submitted claims for services rendered to the above patient. We are appealing the denial of claims for (patient name) and request that these claims be reviewed and paid. (etc – get this information from the denial)

If you have additional questions, contact the Employee Service Center.Address (get address for appeals if it exists) You’ll also find a link to Ask Alex, our interactive health plan election helper for Medical Center employees. Visit for a list of webinars, enrollment labs and decision guides. If you are waiving benefits, you will still need to log in to My VUMC Benefits and indicate you are doing so. You will have no money designated for your Health Care or Dependent Care FSAs for 2017, even if you had money in your accounts for 2016. However, you will not receive the $20 tobacco credit and a $100 spousal surcharge will apply if appropriate. Other qualified dependents, such as disabled children over age 26Įmployees who do not enroll will keep their current benefit coverage for 2017. Natural, step- or adopted children up to age 26 In 2017, the following people will be eligible for benefit programs:

The eligibility for same-sex domestic partners has changed for VUMC benefit programs.

Beginning in 2017, the Go for the Gold credit will be automatically added to your health plan account pretax and will be used to offset certain medical expenses.

Visit for a list of services that require prior authorization.

If the procedure is done without prior authorization, the out-of-pocket limit will not apply to that out-of-network claim. Prior authorization can be obtained by calling the 1-800 number on the back of your Aetna ID card. This is to ensure you are getting the appropriate care and the best value for your health plan coverage. For those employees who seek non-emergency care out-of-network, a prior authorization process will be in place for some services beginning in January 2017.They will also see increases in the Cigna dental payroll deduction. While the copay amounts will remain the same for the health plan, there will be an increase in out-of-network deductible costs.

#Aetna timely filing limit 2015 plus

VUMC employees will see modest increases for the Aetna Plus and the Aetna Health Fund, while Aetna Select will reflect higher premiums where, due to increasing costs of claims in this plan, the employer/employee share is not equitable to the other plans.Dependent day care flexible spending accounts, which reimburse day care service expenses for your dependents.Health care flexible spending accounts, which reimburse out-of-pocket medical expenses for you and your dependents.Accidental death & dismemberment (AD&D) insurance.Health insurance, dental and vision insurance.The following benefits are part of Open Enrollment: The benefits you elect will take effect on Jan. Open Enrollment, your annual opportunity to choose the benefits that best fit the needs of you and your family, begins at 8 a.m. The choices you make during this time will stay with you for the rest of the year so it’s important to make wise choices. This Open Enrollment period, take a few moments to find out how the way you elect your benefits can serve up your health your way. At Vanderbilt University Medical Center (VUMC), the needs of the patient come first - and that includes you and your family, as about 6 percent of our patients are also our employees.