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Tips for Submitting Paper Claims

To achieve the most efficient claims processing when submitting paper claims to Aetna, follow these simple tips.

Do

  • Use original claim forms (no copies).
  • Use the Aetna Dental claim form Icon indicating this is a PDF or the current ADA claim form.
  • Use the appropriate, current CDT code.
  • Use black ink.
  • Print claim data within the defined boxes on the claim form.
  • Use all capital letters.
  • Use a laser printer for best results.
  • Use white correction tape for corrections.
  • Submit notes on 8½ x 11 paper.
  • Use an 8-digit date format.
  • Use proper punctuation when necessary.
  • Clearly note payment status or amount in the remarks field.
  • PRINT clearly.

Don't

  • Don't use copies of claim forms.
  • Don't use red ink or highlighters.
  • Don't use dashes or slashes in date fields.
  • Don't use fonts smaller than 8 point.
  • Don't use a dot matrix/impact printer, if possible.
  • Don't use correction fluid.
  • Don't put notes on the top or bottom of the claim form.
  • Don't fold claim forms.
  • Don't use labels, stickers or stamps.
  • Don't use proportional fonts (Courier is a good example of a font that does not have proportional fonts).
  • Don't use mixed fonts on the same form.
  • Don't use italics or script fonts or special characters.
  • Don't submit more than six lines on the HCFA-1500 claim form.
  • Don't print slashed zeros.
  • Don't send unnecessary attachments. (Refer to Claim Documentation Guidelines.) Icon indicating this is a PDF
  • Don't submit CDs or DVDs with imaged patient diagnostic or treatment notes. Use of these media is not supported.

NOTE: This page contains links to PDF files. You will need Adobe Reader or Adobe Acrobat to view it. You can download Adobe Reader for free.


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