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INSURER FILING GUIDE

Aetna

Use this public information to prepare your packet, then confirm the route on the insurer's own page.

Get the skill

AT A GLANCE

Claim facts

Member form

Medical Benefits Request

Number: GC-7

Revision: 6-25 S

Open the insurer form
Portal uploadYES
Portal pathClaims > Submit a Claim for plans exposing the online route; alternate published employer path: Support > Contact Us > Send Message > attach claim form
Mail addressPLAN-DEPENDENT: Refer to the back of your ID card for claim mailing address.
FaxNot published by the insurer
AttachmentsItemized 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
DeadlineNot published by the insurer
Outcome and statusAetna member website can check and manage claims
Processing timeNot published by the insurer
CaveatsOnline 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

Source: https://www.aetna.com/content/dam/aetna/pdfs/aetnacom/individuals-families-health-insurance/document-library/medical-claim-form.pdf

Read date: 10-09-2026

Research steps

  1. 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
  2. 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
  3. 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
  4. For the published secure-message alternative, open Support > Contact Us > Send Message and attach the completed form and itemized bill. https://amazon.aetna.com/download_file/view/bfb3e65e-99e3-4a3d-b6a6-ec1581c3cf33/231
  5. NOT PUBLISHED: universal eligibility for online filing, accepted file types, size limit, file count, document-combination rule, and confirmation. Signed-in controls are UNREADABLE.
  6. 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.