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Denial OS
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Payer playbook · National

Aetna

Aetna Health, Inc. / Aetna Life Insurance Company · CVS Health Corporation · NAIC 78700

01

Where to send the appeal

Verified addresses and inbound channels. We refresh on every release.

Fax
+1-859-455-8650
Mailing address
Aetna — Provider Resolution Team P.O. Box 14079 Lexington, KY 40512-4079
02

Response timeline

The clocks that matter. Miss them and you escalate to the state insurance commissioner.

First-level response
60 days
Second-level response
60 days
Provider appeal window
180 days
Expedited pathway
72 hours
03

Codes worth fighting

Based on outcome data across our payer corpus.

Known win codes
  • CO-97
  • CO-18
  • CO-4
  • CO-167
  • CO-204
Known difficult codes
  • CO-50
  • CO-29
  • PR-1
04

Modifier behavior

The denials this payer applies on modifier-bearing claims. The rebuttal language is part of the Denial OS letter generator and not published here.

Modifier 25

Significant, Separately Identifiable E/M Service

Aetna's claims engine applies tighter documentation requirements on modifier 25 than CMS baseline. Frequently denied as CO-4 or CO-97.

Recommended rebuttal language is part of the Denial OS letter engine — start a free appeal to see it in context.

Modifier 59

Distinct Procedural Service

NCCI-compliant modifier 59 use sometimes denied as CO-97 bundle when paired with same-day same-region services.

Recommended rebuttal language is part of the Denial OS letter engine — start a free appeal to see it in context.

Modifier GP

PT plan of care services

Aetna requires GP modifier on outpatient PT services for proper claim adjudication.

Recommended rebuttal language is part of the Denial OS letter engine — start a free appeal to see it in context.
05

Interest statute

The legal basis for charging interest when payment runs late.

Varies by state — CA Insurance Code §10123.13 / TX Insurance Code §1301.103 / NY Insurance Law §3224-a / FL Statute §627.6131 / WA WAC 284-43-321

You have the playbook. Now write the letter.

Paste your EOB and Denial OS generates the appeal in five minutes — citing the contracted rate, the modifier rebuttal, and the deadline statute that matches this exact payer.

Start your appeal