Administrative tasks can eat up a lot of precious staff time. Our electronic tools make it easier and faster to:
CAQH CORE Phase II Accreditation
Aetna is pleased to announce that is has achieved CAQH® Committee on Operating Rules for Information Exchange (CORE® ) Phase II Certification. The CORE Seal was awarded after successfully completing CORE certification testing - a process ensuring that healthcare organizations can electronically exchange or access patient information according to the CORE rules. Visit www.caqh.org for more information.
Aetna is pleased to have relationships with the following trade associations. Please visit their websites for more information.
EDI Savings Calculator
If you’re looking for ways to reduce your practice’s expenses, consider doing business electronically. See how much you’ll save with our EDI Savings Calculator.
1. Free of charge through our secure provider website
2. Free of charge using EDI ConnectSM (for the technically savvy) (PDF, 168 KB)
Or contact one of our clearinghouse vendors.
We offer electronic transactions so you can submit claims and check claim status.
Billing, Payment & Reimbursement
Get claim payment information online through electronic remittance advice, electronic funds transfer, electronic explanation of benefits, view reimbursement guidelines and how we pay out-of-network benefits.
If you're already a member of our Aetna network
Register with our secure website to perform free real-time transactions, set security controls, access multiple health plans and services, use clinical-decision support tools, and more.
New Jersey Providers - Information Concerning Process for Precertification and Claims Submissions:
New York Providers - Information Concerning Process for Precertification and Claims Submissions: