DialClerk Directory

Aetna (CVS Health)

Denials, appeals and grievances

Find appeal teams, faxes and mailing addresses. Use the denial notice to confirm the appeal level, filing deadline and recipient.

appeals grievances

Commercial provider appeal status

Official page read
Phone888-632-3862Fax

859-455-8650

Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
National contact — confirm product and location

Mailing address
Aetna Provider Resolution Team PO Box 14020 Lexington, KY 40512

Commercial provider appeals

Use Availity to file and track requests; the denial/EOB and state-specific instructions control submission routing.

View source ↗ · Source checked 2026-10-22

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

appeals grievances

Contracted Medicare provider appeals

Official page read
Phone800-624-0756Fax

860-900-7995

Published hours

Not published in this record

Product, plan and location

medicare advantage
National contact — confirm product and location

Mailing address
Medicare provider appeals PO Box 14835 Lexington, KY 40512

Contracted Medicare provider appeals only

Non-contracted Medicare appeals have separate instructions; do not assume this fax applies.

View source ↗ · Source checked 2026-10-22

Report an update
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

appeals grievances

Aetna Better Health of Florida — grievances and appeals

Official page read
Phone800-441-5501Fax

860-607-7894

Published email

FLAppealsandGrievances@aetna.com

Published hours

Not published in this record

Product, plan and location

medicaid · chip
Florida

Mailing address
Aetna Better Health of Florida PO Box 81040 Cleveland, OH 44181

Grievance and appeal submissions

LTC: 844-645-7371; FHK: 844-528-5815. Aetna Better Health of Florida Quick Reference Guide, Rev. 11.2024; current SMMC/FHK participation was not re-verified (the main aetnabetterhealth.com site blocked automated fetches).

View source ↗ · Source checked 2026-10-24

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

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Call preparation · editorial guide

Make the call count.

Find appeal teams, faxes and mailing addresses. Use the denial notice to confirm the appeal level, filing deadline and recipient.

Have ready in your secure workspace

  • Denial notice, remittance and reason codes
  • Previous appeal confirmation and decision
  • Supporting evidence and any required authorization to represent the member

Questions to resolve

  • Is this a claim correction, provider dispute or member appeal?
  • What deadline and submission channel apply to this case?
  • How can the office confirm receipt and track the decision?

This is a general administrative checklist, not payer policy or advice about a particular patient. Confirm the current plan instructions.

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A request does not create an account or start a call. Use business contact information only. No patient information.

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