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Claims, Payment & Reimbursement

Convenient tools and guidelines to help you get paid faster

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How to submit a claim

Submitting your claims electronically is quick, convenient and easy. Choose the option that works best for you.

Explore claims options

Tools that save you time and money

ERAs, EFTs and electronic EOBs

Receive payments directly to your account. And review claims payment information online any time.

Find out more and enroll now

Coordination of benefits

Get timely payments with electronic coordination of benefits (COB) when a patient is covered under more than one insurance plan.

Submit COB claims

Electronic transaction tools

Check eligibility and claims status. And send precertifications and referrals.

Discover time-saving tools
Look up electronic transaction vendors

Payment estimator & fee schedule

Estimate how much your patients will owe for an office visit. Or look up how much we reimburse for services.

Learn more about these tools

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Out-of-network benefits

Some of our plans pay for services from doctors who are not in our network. We pay based on “usual and customary charges.”

Find out how we figure our charges

Aetna Medicare nonparticipating provider information

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Insurance regulations by state

Find state-specific information on claims, appeals, reimbursement and other topics.

See state-specific materials

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