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Medical - Transactions

Our claim transactions options can streamline your administrative tasks:

• Claim Submission  (2 pages) and Electronic COB
• Claim Status Inquiry  (2 pages)

Receive claim payment information in an electronic format, allowing automated patient account updates and expedited secondary billing.

• Electronic Remittance Advice
• Electronic Funds Transfer

Obtain patient eligibility, coverage status and eligibility rosters through secure, real-time transaction.

• Eligibility  (2 pages) and Eligibility Roster

Initiate a precertification event and check precertification status. Before logging on to the Provider Secure website, determine if precertification is required by Aetna

• Precertification Request  (2 pages) and Precertification Inquiry  (2 pages)

Submit referral requests (Primary Care Physicians and Gynecologists) and inquire about referrals for specialty care for a specific patient.

• Referral Request and Referral inquiry