Guidelines

How do I go paperless with Aetna?

How do I go paperless with Aetna?

Go to Aetna Navigator at www.aetna.com. And go paperless today.

Can you submit Aetna claims online?

Submitting a claim online is the most efficient method. After logging in to your secure member website, follow these steps: Click “Claims Center,” then “Submit claims” Complete your claim online.

How do I update my EFT with Aetna?

If you want to change your banking information, please complete the ERA/EFT enrollment form at: www.aetna.com/provider/data/ERA_EFT_Enrollment_Form.pdf. For change requests, please fax to 860-262-9883. Please use one enrollment form per tax ID.

What is EFT and ERA?

ERA, EFT and electronic EOBs Electronic remittance advice (ERA) provides claims payment explanations in HIPM· compliant files. Electronic funds transfer (EFT} puts payment right into your account.

How long does it take Aetna to process a claim?

If we had to approve your claim before you got care, we will decide within 30 days of getting your appeal. For other claims, we’ll decide within 60 days.

What is COB in medical billing?

Insurance Term – Coordination of Benefits (COB) This is a provision in the contract that applies when a person is covered under more than one health insurance plan. It requires that payment of benefits be coordinated by all health insurance plans to eliminate over-insurance or duplication of benefits.

How much does Aetna pay for counseling?

If you choose a therapist who is in-network with Aetna, your therapy sessions likely cost between $15 – $50 per session, after you meet your deductible. The $15 – $50 amount is your copay, or the fixed amount that you owe at each therapy visit.

How do I check my Aetna claim?

You can check claim status:

  1. By using Aetna Voice Advantage® (AVA), our interactive telephone self-service system.
  2. By registering or logging in to your secure site.
  3. Through an electronic transactions vendor.

What is difference between EOB and ERA?

An electronic remittance advice (ERA) — or what is frequently referred to as the HIPAA 835 file — is essentially an electronic EOB. ERAs contain information on whether a claim was paid or denied, final status claims and any adjustments the payer made to the billed amount.

Why is it called remittance advice?

Deriving from the term ‘remit’ (meaning “to send back”), remittance refers to a sum of money that is sent back or transferred to another party. It covers virtually any payment, from bills to invoices, and is typically used with overseas payments – when one party is based in another country.

Why did Aetna deny my claim?

If your health or disability benefits have been denied, Aetna may have claimed the following: The procedure is merely cosmetic and not medically necessary. The treating physician is out of network or out of plan. The claim filed was for a medical condition that isn’t authorized or covered.

Is there a link to the Aetna website?

Health benefits and health insurance plans contain exclusions and limitations. Links to various non-Aetna sites are provided for your convenience only. Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy or privacy practices of linked sites, or for products or services described on these sites.

What kind of numbers does Aetna use for electronic claims?

It replaces many numbers you may have previously supplied to payers on electronic claims, certifications and authorization transactions. This includes Medicare and Medicaid numbers, and other payer numbers.

Where can I Find my missing Aetna EFT?

If you are still unable to find the missing EFT, please contact your bank for assistance. If your bank is unable to resolve your inquiry, please contact us. Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna).

What does Aetna stand for in health insurance?

If your bank is unable to resolve your inquiry, please contact us. Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). Health benefits and health insurance plans contain exclusions and limitations.