Electronic Transaction Tools

Online tools for easy and convenient transactions

Use our secure online transaction tools to save time and money. They're quick and convenient. They can simplify many administrative tasks.

Electronic patient eligibility

Check patient eligibility and see patient copay, deductible and coinsurance amounts in one of three ways:

Through our secure provider website

Through one of our vendors

With Post-n-Track^® solution

Electronic claim status

Check the status of your claims electronically in one of three ways:

Through our secure provider website

Through one of our vendors

With Post-n-Track solution

Electronic patient referrals

Keep costs down by referring your patients to specialists who are covered by their plan. Timely referrals can also help avoid claims reviews later. Reviews can hold up payments.

Our guidelines for patient referrals allow us to authorize:

• Exact procedure code referrals – These are referrals submitted with code(s) other than 99499. Primary care physicians (PCPs) should use these referrals when a member needs care for a specific health reason. We will only reimburse for the procedure code(s) that matches the code(s) on the referral.
• C&T referrals – These are referrals submitted with CPT code 99499. In most areas, consult and treat (C&T) referrals do not need to include the specialists’ procedures. We will pay specialists for performing associated covered services in an office setting, according to current claims processing guidelines.

Referrals submitted without a procedure code will default to a C&T referral (99499). Authorized procedures are subject to the number of visits on the referral.

We do not accept procedure codes for services that require precertification. We will return such requests and ask you to resubmit the code(s) using the precertification process. In some instances, we will grant a "modified" response where C&T code 99499 replaces the rejected procedure code.

Submit an electronic referral in one of three ways:

Through our secure provider website

Through one of our vendors

With Post-n-Track solution

Find more information about our referral policy in the Office Manual for Health Care Professionals

*Our referral system recognizes when a specialty capitation arrangement may apply. As appropriate, we will substitute the "referred to" provider with a provider who is aligned to the capitation arrangement of the requesting provider. In these situations, we will issue a "modified" response.

Electronic precertification  

Certain services require precertification. Submit requests electronically in one of three ways:

Through our secure provider website

Through one of our vendors

With Post-n-Track solution

See precertification lists or search by CPT code

E-prescribing

Send a prescription instantly. It costs nothing and is easy to use. And it can help protect against medication errors. You can even prescribe from a mobile app for convenience.

Learn more about e-prescribing

Fast, easy patient payments

Money²_SM for Health lets your patients pay their bills quickly in one place. 

Patients use their Aetna secure member website and click the option to pay online. Then, funds will go from their account to yours.

Money² for Health benefits you, too, with:

• Lower administrative costs
• No set-up fees*
• Easy, self-service tools (and training materials and support)
• Fewer patient billing questions

Register now for Money² for Health

Or for more information, call us at 1-877-305-0942 or email us

*You pay a small fee when you receive payments.

Automated provider support

Aetna Voice Advantage^® lets you check patient benefits, claim status and precertification requirements. We can fax the information to your office within minutes.

You can also call our Provider Service Center during regular business hours:

For HMO plans and Medicare Advantage plans, call 1-800-624-0756.

For all other plans, call 1-888-MDAetna (1-888-632-3862).

You also can contact us with any questions