When filing a claim, your primary insurance pays first, and then the Student Health Insurance plan may cover any remaining balance as secondary coverage. Claims are coordinated to maximize your benefits.
If you have other primary insurance coverage, submit:
- A completed Aetna Claim Form. The online form requires Adobe Acrobat Reader, or you may pick up a form at the Student Health Insurance Office. Submit the form by mail to the address listed on it, or deliver in person to the Student Health Insurance Office, Room 303, Student Services Building.
- An itemized bill from the provider of the service. Accepted forms are CMS 1500 or HCFA 1500 billing from a physician; UB92 or UB04 billing from a hospital.
- Most patient bills are not suitable for insurance and our not accepted unless they contain CPT procedure codes, IDC10 diagnosis codes, modifiers, provider tax identification & NPI numbers, along with billed amounts and dates of service.
- An explanation of benefits from your other insurance carrier(s).
If Student Health Insurance is your only form of insurance coverage, submit:
- A completed Aetna Claim Form. The online form requires Adobe Acrobat Reader, or you may pick up a form at the Student Health Insurance Office. Submit the form by mail to the address listed on it, or deliver in person to the Student Health Insurance Office, Room 303, Student Services Building.
- An itemized bill from the provider of the service. Accepted forms are CMS 1500 HCFA 1500 billing from a physician; UB92 or UB04 billing from a hospital.
- Most patient bills are not suitable for insurance and our not accepted unless they contain CPT procedure codes, IDC10 diagnosis codes, modifiers, provider tax identification & NPI numbers, along with billed amounts and dates of service.