INSURER FILING GUIDE
Aetna
Use this public information to prepare your packet, then confirm the route on the insurer's own page.
AT A GLANCE
Claim facts
| Member form | |
|---|---|
| Portal upload | YES |
| Portal path | Claims > Submit a Claim for plans exposing the online route; alternate published employer path: Support > Contact Us > Send Message > attach claim form |
| Mail address | PLAN-DEPENDENT: Refer to the back of your ID card for claim mailing address. |
| Fax | Not published by the insurer |
| Attachments | Itemized bill: patient name; condition being treated; type of services rendered; dates of service; relationship to employee; receipts as proof of payment. Provider-completed alternative also captures place of service, procedure code, description, charges, units, diagnosis code, provider name and address, taxpayer ID, NPI |
| Deadline | Not published by the insurer |
| Outcome and status | Aetna member website can check and manage claims |
| Processing time | Not published by the insurer |
| Caveats | Online filing is plan dependent; generic public form page publishes a paper route; HMO or EPO routine out-of-network coverage, self-funded terms, Medicare Advantage, and Medicaid require separate plan instructions |
STEP BY STEP
Filing steps
Read date: 10-09-2026
Research steps
- Confirm the member website exposes online filing for the plan. Aetna publishes online filing for some employer plans at
Claims > Submit a Claim. https://amazon.aetna.com/download_file/view/bfb3e65e-99e3-4a3d-b6a6-ec1581c3cf33/231 - If using the PDF, complete items 1 through 21, complete other-coverage items when applicable, and sign block 27. Leave optional block 28 unsigned when direct provider payment is not wanted. https://www.aetna.com/content/dam/aetna/pdfs/aetnacom/individuals-families-health-insurance/document-library/medical-claim-form.pdf
- Attach itemized bills and receipts as proof of payment, or have the provider complete the provider section. https://www.aetna.com/content/dam/aetna/pdfs/aetnacom/individuals-families-health-insurance/document-library/medical-claim-form.pdf
- For the published secure-message alternative, open
Support > Contact Us > Send Messageand attach the completed form and itemized bill. https://amazon.aetna.com/download_file/view/bfb3e65e-99e3-4a3d-b6a6-ec1581c3cf33/231 - NOT PUBLISHED: universal eligibility for online filing, accepted file types, size limit, file count, document-combination rule, and confirmation. Signed-in controls are UNREADABLE.
- Check claims in the Aetna member website. https://www.aetna.com/about-us/contact-aetna.html
Filing facts
- Portal upload: YES
- Portal: Aetna member website
- Portal path: Claims > Submit a Claim for plans exposing the online route; alternate published employer path: Support > Contact Us > Send Message > attach claim form
- Mail address: PLAN-DEPENDENT: Refer to the back of your ID card for claim mailing address.
- Fax: NOT PUBLISHED
- Attach: itemized bill: patient name; condition being treated; type of services rendered; dates of service; relationship to employee; receipts as proof of payment. Provider-completed alternative also captures place of service, procedure code, description, charges, units, diagnosis code, provider name and address, taxpayer ID, NPI
- File types: NOT PUBLISHED; signed-in form is UNREADABLE
- File size limit: NOT PUBLISHED; signed-in form is UNREADABLE
- Maximum files: NOT PUBLISHED; signed-in form is UNREADABLE
- One file or separate files: NOT PUBLISHED
- Confirmation: NOT PUBLISHED
- Status check: Aetna member website can check and manage claims
- Processing time: NOT PUBLISHED
- Member deadline: NOT PUBLISHED
- Deadline basis: YES: employer and plan documents control
- Mental health route: No separate behavioral member form or portal path is published on the generic commercial form; employer carve-outs are NOT PUBLISHED
Confirm the address, fax number or portal path on the insurer's own claims page before you send; read on 10-09-2026.
Read on 10-09-2026 from https://www.aetna.com/content/dam/aetna/pdfs/aetnacom/individuals-families-health-insurance/document-library/medical-claim-form.pdf. Confirm the address, fax number or portal path on the insurer's own claims page before you send.