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Electronic transaction vendors

Vendor

Transactions available

Website

Phone

Does site support browsers other than Internet Explorer (IE)?

Aetna’s Provider Portal on Availity®

Claim/Encounter Submission, Electronic Remittance Advice (ERA),  Eligibility, Claim Status Inquiry, Precertification Add/Inquiry, Precertification Notification, Referral Add/Inquiry, Member ID Card, Patient Cost Estimator,  Attachments,  Electronic Disputes & Appeals, Capitation reports/rosters

Yes

Athenahealth

Claim Submission, ERA, Eligibility, Claim Status Inquiry

Yes

Availity

Claim/Encounter Submission, ERA, Eligibility, Claim Status Inquiry, Precertification Add/Inquiry, Precertification Notification, Referral Add/Inquiry, Member ID Card, Patient Cost Estimator, Attachments, Electronic Disputes & Appeals, Capitation reports/rosters

Yes

Availity RCM (RealMed)

Claim Submission, ERA, Eligibility, Claim Status Inquiry

Yes

Cerner

ERA, Eligibility, Precertification Add/Inquiry, Precertification Notification, Referral Inquiry

No

Change Healthcare (formerly Emdeon)

Claim/Encounter Submission, Claim Attachments, ERA, Eligibility, Claim Status Inquiry, Precertification Add/Inquiry, Precertification Notification, Referral Add/Inquiry, Eligibility, Virtual Credit Card

Yes

Experian Health (formerly Passport Health)

Claim/Encounter Submission, Eligibility, Claim Status Inquiry, Precertification Add/Inquiry, Precertification Notification, Referral Add/Inquiry

Yes

FinThrive (formerly nThrive / Medassets / Xactimed / TransUnion Healthcare /MedData)

Claim Submission, ERA, Eligibility, Claim Status Inquiry, Precertification Add, Precertification Notification

No

HealthLogic (Bank of America)

ERA

No

Infinedi

Claim Submission, ERA

No

Inovalon (formerly ABILITY Network)

Claim Submission, ERA, Eligibility, Claim Status Inquiry

Yes

InstaMed

Claim Submission (Professional only), ERA, Eligibility

Yes

Vendor

Aetna’s Provider Portal on Availity®

Transactions available

Claim/Encounter Submission, Electronic Remittance Advice (ERA),  Eligibility, Claim Status Inquiry, Precertification Add/Inquiry, Precertification Notification, Referral Add/Inquiry, Member ID Card, Patient Cost Estimator,  Attachments,  Electronic Disputes & Appeals, Capitation reports/rosters

Website

Phone

Does site support browsers other than Internet Explorer (IE)?

Yes

Vendor

Athenahealth

Transactions available

Claim Submission, ERA, Eligibility, Claim Status Inquiry

Website

Phone

Does site support browsers other than Internet Explorer (IE)?

Yes

Vendor

Availity

Transactions available

Claim/Encounter Submission, ERA, Eligibility, Claim Status Inquiry, Precertification Add/Inquiry, Precertification Notification, Referral Add/Inquiry, Member ID Card, Patient Cost Estimator, Attachments, Electronic Disputes & Appeals, Capitation reports/rosters

Website

Phone

Does site support browsers other than Internet Explorer (IE)?

Yes

Vendor

Availity RCM (RealMed)

Transactions available

Claim Submission, ERA, Eligibility, Claim Status Inquiry

Website

Phone

Does site support browsers other than Internet Explorer (IE)?

Yes

Vendor

Cerner

Transactions available

ERA, Eligibility, Precertification Add/Inquiry, Precertification Notification, Referral Inquiry

Website

Phone

Does site support browsers other than Internet Explorer (IE)?

No

Vendor

Change Healthcare (formerly Emdeon)

Transactions available

Claim/Encounter Submission, Claim Attachments, ERA, Eligibility, Claim Status Inquiry, Precertification Add/Inquiry, Precertification Notification, Referral Add/Inquiry, Eligibility, Virtual Credit Card

Website

Phone

Does site support browsers other than Internet Explorer (IE)?

Yes

Vendor

Experian Health (formerly Passport Health)

Transactions available

Claim/Encounter Submission, Eligibility, Claim Status Inquiry, Precertification Add/Inquiry, Precertification Notification, Referral Add/Inquiry

Website

Phone

Does site support browsers other than Internet Explorer (IE)?

Yes

Vendor

FinThrive (formerly nThrive / Medassets / Xactimed / TransUnion Healthcare /MedData)

Transactions available

Claim Submission, ERA, Eligibility, Claim Status Inquiry, Precertification Add, Precertification Notification

Website

Phone

Does site support browsers other than Internet Explorer (IE)?

No

Vendor

HealthLogic (Bank of America)

Transactions available

ERA

Website

Phone

Does site support browsers other than Internet Explorer (IE)?

No

Vendor

Infinedi

Transactions available

Claim Submission, ERA

Website

Phone

Does site support browsers other than Internet Explorer (IE)?

No

Vendor

Inovalon (formerly ABILITY Network)

Transactions available

Claim Submission, ERA, Eligibility, Claim Status Inquiry

Website

Phone

Does site support browsers other than Internet Explorer (IE)?

Yes

Vendor

InstaMed

Transactions available

Claim Submission (Professional only), ERA, Eligibility

Website

Phone

Does site support browsers other than Internet Explorer (IE)?

Yes

Vendor

Transactions available

Website

Phone

Does site support browsers other than Internet Explorer (IE)?

MediStreams

ERA

Yes

NextGen Healthcare

Claim Submission (Professional only), ERA, Eligibility, Claim Status Inquiry, Precertification Add/Inquiry, Referral Add/Inquiry, Claim Status Report, Financial Status Request

Yes

Office Ally

Claim Submission, ERA, Eligibility, Claim Status Inquiry

Yes

PNC

ERA

No

PNT Data

Claim/Encounter Submission, Claim Attachments, ERA, Eligibility, Claim Status Inquiry, Precertification Add/Inquiry, Precertification Notification, Referral Add/Inquiry

Yes

SSI (ClaimsNet)

Claim/Encounter Submission, ERA, Eligibility, Claim Status Inquiry, Precertification Add/Inquiry, Referral Add/Inquiry, Delegated Decisions

Yes

TriZetto Provider Solutions, a Cognizant Company (formerly Gateway EDI)

Claim Submission, ERA, Eligibility, Claim Status Inquiry

Yes

Veradigm (formerly Allscripts (PayerPath/Misys))

Claim Submission, ERA, Eligibility

No

Waystar (formerly NaviCure and ZirMed)

Claim/Encounter Submission, Claim Attachments, ERA, Eligibility, Claim Status Inquiry

Yes

Vendor

MediStreams

Transactions available

ERA

Website

Phone

Does site support browsers other than Internet Explorer (IE)?

Yes

Vendor

NextGen Healthcare

Transactions available

Claim Submission (Professional only), ERA, Eligibility, Claim Status Inquiry, Precertification Add/Inquiry, Referral Add/Inquiry, Claim Status Report, Financial Status Request

Website

Phone

Does site support browsers other than Internet Explorer (IE)?

Yes

Vendor

Office Ally

Transactions available

Claim Submission, ERA, Eligibility, Claim Status Inquiry

Website

Phone

Does site support browsers other than Internet Explorer (IE)?

Yes

Vendor

PNC

Transactions available

ERA

Website

Phone

Does site support browsers other than Internet Explorer (IE)?

No

Vendor

PNT Data

Transactions available

Claim/Encounter Submission, Claim Attachments, ERA, Eligibility, Claim Status Inquiry, Precertification Add/Inquiry, Precertification Notification, Referral Add/Inquiry

Website

Phone

Does site support browsers other than Internet Explorer (IE)?

Yes

Vendor

SSI (ClaimsNet)

Transactions available

Claim/Encounter Submission, ERA, Eligibility, Claim Status Inquiry, Precertification Add/Inquiry, Referral Add/Inquiry, Delegated Decisions

Website

Phone

Does site support browsers other than Internet Explorer (IE)?

Yes

Vendor

TriZetto Provider Solutions, a Cognizant Company (formerly Gateway EDI)

Transactions available

Claim Submission, ERA, Eligibility, Claim Status Inquiry

Website

Phone

Does site support browsers other than Internet Explorer (IE)?

Yes

Vendor

Veradigm (formerly Allscripts (PayerPath/Misys))

Transactions available

Claim Submission, ERA, Eligibility

Website

Phone

Does site support browsers other than Internet Explorer (IE)?

No

Vendor

Waystar (formerly NaviCure and ZirMed)

Transactions available

Claim/Encounter Submission, Claim Attachments, ERA, Eligibility, Claim Status Inquiry

Website

Phone

Does site support browsers other than Internet Explorer (IE)?

Yes

Legal notices

Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna).

Health benefits and health insurance plans contain exclusions and limitations.

See all legal notices

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