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Step 3: Document a Filing Exception (If Applicable) If you genuinely missed the timely filing window not an error in your records Aetna will only waive a CO-29 denial if the delay was caused by a specific, documentable external circumstance: FEMA-declared natural disaster affecting the provider's facility or operations during the filing window Verified Availity or EDI portal outage documented system downtime from Aetna or your clearinghouse during the filing period Retroactive member eligibility the claim could not be filed because eligibility was not confirmed until after the window closed (requires documentation from the member or employer group) COB delays you were waiting for the primary payer's EOB before filing secondary, and the delay was due to the primary payer's processing time Aetna administrative error Aetna provided an incorrect address or claim routing that caused the delay Step 4: Submit Your Appeal Aetna accepts CO-29 appeals via: Availity portal fastest