Claims, Payment & Reimbursement
Convenient tools and guidelines to help you get paid faster
How to submit a claim
Submitting your claims electronically is quick, convenient and easy. Choose the option that works best for you.
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.
Coordination of benefits
Get timely payments with electronic coordination of benefits (COB) when a patient is covered under more than one insurance plan.
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.
Electronic solutions for lower costs
Electronic transactions can save you time. They also cost less than manual ones. Use our calculator to see how much your office can save.
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
Refunding overpayments
Whether we notify you about an overpayment or your office identifies it, we provide simple steps to refunding.
Insurance regulations by state
Find state-specific information on claims, appeals, reimbursement and other topics.
