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Aetna's Secure Provider Website on NaviNet®

Claims Submission (Professional Only), Electronic Remittance Advice (ERA), Precertification Add/Inquiry, Referral Add/Inquiry, Eligibility, Claim Status Inquiry, Claim Status Report, Financial Status Request, Provider Payment Estimator, Member ID Card

https://connect.navinet.net

888-482-8057

Yes

Allscripts (PayerPath/Misys)

Claims Submission, Eligibility, ERA

www.Allscripts.com

800-334-8534

No

Availity

Claims Submission, ERA, Precertification Add/Inquiry, Referral Add/Inquiry, Eligibility, Claim Status Inquiry, CareCost Estimator, Member ID Card

www.Availity.com

800-282-4548

Yes

Change Healthcare (formerly Emdeon) Claims Submission, ERA, Precertification Add/Inquiry/Notification, Referral Add/Inquiry, Eligibility, Claim Status Inquiry, Virtual Credit Card www.ChangeHealthcare.com 877-469-3263 Yes

Change Healthcare -  Dental (formerly Emdeon)

Claims Submission, Claim Status Inquiry, Eligibility

www.emdeon.com/eligibility fordentists.com

877-469-3263

Yes

ENSHealth (Optum)

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

www.ENSHealth.com

800-341-6141

Yes

HDX (Cerner)

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

www.cerner.com

816-221-1024

No

HealthFusion

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

www.HealthFusion.com

877-523-2120

Yes

HealthLogic (Bank of America) ERA www.HealthLogic.com 888-877-0658 No

Infinedi

Claims Submission, ERA

www.infinedi.net

800-688-8087

No

inMediata (SecureEDI)

Claim, Eligibility, ERA

www.inmediata.com

877-466-9656

No

InstaMed

Claims Submission (Professional only), ERA, Eligibility

www.instamed.com

866-467-8263

Yes

MD On-Line (part of ABILITY Network)

ERA, Eligibility, Claim Status Inquiry, Claims Submission

www.atmdol.com

888-499-5465

Yes

Medassets/Xactimed Claims Submission, ERA www.medassets.com 888-883-6332 No

MediStreams

ERA

www.MediStreams.com

888-267-4835

Yes

NaviCure

Claim Submission, ERA

www.Navicure.com

770-342-0200

No

Office Ally

Claims Submission, ERA, Eligibility, Claim Status Inquiry

www.OfficeAlly.com

866-575-4120

Yes

Passport Health

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

www.PassportHealth.com

888-661-5657

 Yes

PNC

ERA

www.PNC.com

412-762-0602

No

PNT Data®

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

www.pntdata.com

860-257-2030

Yes

RealMed

ERA, Eligibility, Claim Status Inquiry, Claims Submission

www.RealMed.com

877-732-5633

No

RelayHealth (McKesson)

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

 

www.RelayHealth.com

866-735-2963

No

SSI (ClaimsNet)

ERA, Eligibility, Claim Status Inquiry, Claims Submission, Precertification Add/Inquiry, Referral Add/Inquiry

www.TheSSIGroup.com

800-881-2739

Yes

TransUnion Healthcare (formerly MedData) Eligibility, Claim Status Inquiry, Precert Add/Notification www.transunionhealthcare.com 877-633-3282 Yes
TriZetto Provider Solutions (formerly Gateway EDI) Claims Submission, ERA, Eligibility, Claim Status Inquiry www.trizettoprovider.com 800-969-3666 Yes

ZirMed

Eligibility, Claims Submission, ERA

www.Zirmed.com

877-494-7633

Yes

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