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    • How to access your fee schedule


    In accordance with the regulations issued pursuant to the Claims Settlement Practices and Dispute Mechanism Act of 2000 (CA AB1455 for HMO) and to the expansion of the Health Care Providers Bill of Rights (under CA SB 634 for indemnity and PPO products), we’re providing you with information about how to access your fee schedule.

     

    • If you’re affiliated with an Independent Practice Association (IPA) or a Physician Hospital Organization (PHO), contact your IPA or PHO for a copy of your fee schedule.
    • If you’re directly contracted with Aetna, you can call our Provider Service Center for help with up to ten Current Procedural Terminology® (CPT®) codes. For requests of eleven or more codes, you can enter the codes on an Excel spreadsheet (include tax ID, contact telephone number, CPT codes and modifier) and email them to us at feeschedule@aetna.com.
    • If your hospital is reimbursed through Medicare Groupers, visit the Medicare website for your fee schedule information
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