Paper Claim Tips

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 (English or Spanish) 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.)
• Don't submit CDs or DVDs with imaged patient diagnostic or treatment notes. Use of these media is not supported.