Aetna AdminLink lets you continue to play a role in the benefits service your members receive, with access to state-of-the-art claim and call systems and a solution that’s flexible enough to work well with your existing operation.
A menu of options
Aetna AdminLink gives self-funded plan sponsors with Preferred Provider Organization (PPO)-based medical plans the ability to perform claim and member service functions. You decide your level of involvement:
How it works
|Aetna AdminLink Calls||Aetna AdminLink Claims|
|Aetna handles||You handle||Aetna handles||You handle|
|Benefits determination/claims adjudication
|Member Explanations of Benefits (EOBs)||X||X|
|Provider Explanations of Benefits (EOBs)||X||X|
When you agree to an Aetna AdminLink arrangement, we provide your staff with a secure gateway to Aetna’s state-of-the-art call and claims systems, giving you full access to your own members’ information. This is a level of transparency that is rare in the marketplace, but we have the confidence to share our tools and technologies with you.
Aetna AdminLink operates on the cutting-edge technology of the Aetna Strategic Desktop Customer Service Portal. This web-based tool provides a 360-degree view of your members’ data. A single screen highlights the most important plan, eligibility and coverage information, giving your team easy access to clear, organized information on:
Find out if Aetna AdminLink is right for you
Aetna AdminLink makes handling your own calls and claims easy and efficient.
Director of Shared Administration
Shared Administration Technical Director
Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies, including Aetna Life Insurance Company and its affiliates (Aetna). Self-Funded plans are administered by Aetna Life Insurance Company.
Health information programs provide general health information and are not a substitute for diagnosis or treatment by a physician or other health care professionals. Providers are independent contractors and are not agents of Aetna. Provider participation may change without notice. Aetna does not provide care or guarantee access to health services. Information is subject to change. For more information about Aetna plans, refer to www.aetna.com. This product is not regulated by your state.