Vendor
|
|
Transactions available |
Website |
Phone |
Does the website support browsers other than Internet Explorer (IE)? |
|---|---|---|---|---|
|
Aetna 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 and appeals, capitation reports/rosters |
Yes |
||
|
Athenahealth |
Claim submission, electronic remittance advice (ERA), eligibility, claim status inquiry |
Yes |
||
|
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 and appeals, capitation reports/rosters |
Yes |
||
|
Availity RCM (RealMed) |
Claim attachments, claim status inquiry, claim submission, eligibility, electronic remittance advice (ERA) |
Yes |
||
|
Cerner |
Electronic remittance advice (ERA), eligibility, precertification add/inquiry, precertification notification, referral inquiry |
No |
||
|
Experian Health (formerly Passport Health) |
Claim/encounter submission, claim attachments, claim status inquiry, eligibility, precertification add/inquiry, precertification notification, referral add/inquiry |
Yes |
||
|
FinThrive (formerly nThrive / Medassets / Xactimed / TransUnion Healthcare /MedData) |
Claim status inquiry, claim submission, eligibility, encounters, electronic remittance advice (ERA), precertification add, precertification notification |
No |
||
|
HealthLogic (Bank of America) |
Electronic remittance advice (ERA) |
No |
||
|
Infinedi |
Claim submission, electronic remittance advice (ERA) |
No |
||
|
Inovalon (formerly ABILITY Network) |
Claim submission, electronic remittance advice (ERA), eligibility, claim status inquiry |
Yes |
||
|
InstaMed |
Claim submission (professional only), electronic remittance advice (ERA) eligibility |
Yes |
||
|
Jopari |
Claim attachments |
Yes |
|
Vendor |
Aetna 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 and appeals, capitation reports/rosters |
|
Website |
|
|
Phone |
|
|
Does the website support browsers other than Internet Explorer (IE)? |
Yes |
|
Vendor |
Athenahealth |
|
Transactions available |
Claim submission, electronic remittance advice (ERA), eligibility, claim status inquiry |
|
Website |
|
|
Phone |
|
|
Does the website support browsers other than Internet Explorer (IE)? |
Yes |
|
Vendor |
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 and appeals, capitation reports/rosters |
|
Website |
|
|
Phone |
|
|
Does the website support browsers other than Internet Explorer (IE)? |
Yes |
|
Vendor |
Availity RCM (RealMed) |
|
Transactions available |
Claim attachments, claim status inquiry, claim submission, eligibility, electronic remittance advice (ERA) |
|
Website |
|
|
Phone |
|
|
Does the website support browsers other than Internet Explorer (IE)? |
Yes |
|
Vendor |
Cerner |
|
Transactions available |
Electronic remittance advice (ERA), eligibility, precertification add/inquiry, precertification notification, referral inquiry |
|
Website |
|
|
Phone |
|
|
Does the website support browsers other than Internet Explorer (IE)? |
No |
|
Vendor |
Experian Health (formerly Passport Health) |
|
Transactions available |
Claim/encounter submission, claim attachments, claim status inquiry, eligibility, precertification add/inquiry, precertification notification, referral add/inquiry |
|
Website |
|
|
Phone |
|
|
Does the website support browsers other than Internet Explorer (IE)? |
Yes |
|
Vendor |
FinThrive (formerly nThrive / Medassets / Xactimed / TransUnion Healthcare /MedData) |
|
Transactions available |
Claim status inquiry, claim submission, eligibility, encounters, electronic remittance advice (ERA), precertification add, precertification notification |
|
Website |
|
|
Phone |
|
|
Does the website support browsers other than Internet Explorer (IE)? |
No |
|
Vendor |
HealthLogic (Bank of America) |
|
Transactions available |
Electronic remittance advice (ERA) |
|
Website |
|
|
Phone |
|
|
Does the website support browsers other than Internet Explorer (IE)? |
No |
|
Vendor |
Infinedi |
|
Transactions available |
Claim submission, electronic remittance advice (ERA) |
|
Website |
|
|
Phone |
|
|
Does the website support browsers other than Internet Explorer (IE)? |
No |
|
Vendor |
Inovalon (formerly ABILITY Network) |
|
Transactions available |
Claim submission, electronic remittance advice (ERA), eligibility, claim status inquiry |
|
Website |
|
|
Phone |
|
|
Does the website support browsers other than Internet Explorer (IE)? |
Yes |
|
Vendor |
InstaMed |
|
Transactions available |
Claim submission (professional only), electronic remittance advice (ERA) eligibility |
|
Website |
|
|
Phone |
|
|
Does the website support browsers other than Internet Explorer (IE)? |
Yes |
|
Vendor |
Jopari |
|
Transactions available |
Claim attachments |
|
Website |
|
|
Phone |
|
|
Does the website support browsers other than Internet Explorer (IE)? |
Yes |
|
Vendor |
Transactions available |
Website |
Phone |
Does site support browsers other than Internet Explorer (IE)? |
|---|---|---|---|---|
|
MediStreams |
Electronic remittance advice (ERA) |
Yes |
||
|
NextGen Healthcare |
Claim submission (professional only), electronic remittance advice (ERA), eligibility, claim status inquiry, precertification add/inquiry, referral add/inquiry, claim status report, financial status request |
Yes |
||
|
Office Ally |
Claim submission, electronic remittance advice (ERA), eligibility, claim status inquiry |
Yes |
||
|
Optum (formerly Change Healthcare) |
Claim/encounter submission, claim attachments, electronic remittance advice (ERA), eligibility, claim status inquiry, precertification add/inquiry, precertification notification, referral add/inquiry, eligibility, virtual credit card |
Yes |
||
|
PNC |
Electronic remittance advice (ERA) |
No |
||
|
PNT Data |
Claim/encounter submission, claim attachments, electronic remittance advice (ERA), eligibility, claim status inquiry, precertification add/inquiry, precertification notification, referral add/inquiry |
Yes |
||
|
SSI (ClaimsNet) |
Claim/encounter submission, claim attachments, claim status inquiry, eligibility, electronic remittance advice (ERA), precertification add/inquiry, referral add/inquiry, delegated decisions |
Yes |
||
|
TriZetto Provider Solutions, a Cognizant Company (formerly Gateway EDI) |
Claim submission, electronic remittance advice (ERA), eligibility, claim status inquiry |
Yes |
||
|
Veradigm (formerly Allscripts) (formerly Payerpath / Misys) |
Claim submission, electronic remittance advice (ERA), eligibility |
No |
||
|
Waystar (formerly NaviCure and ZirMed) |
Claim/encounter submission, claim attachments, electronic remittance advice (ERA), eligibility, claim status inquiry |
Yes |
|
Vendor |
MediStreams |
|---|---|
|
Transactions available |
Electronic remittance advice (ERA) |
|
Website |
|
|
Phone |
|
|
Does site support browsers other than Internet Explorer (IE)? |
Yes |
|
Vendor |
NextGen Healthcare |
|
Transactions available |
Claim submission (professional only), electronic remittance advice (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, electronic remittance advice (ERA), eligibility, claim status inquiry |
|
Website |
|
|
Phone |
|
|
Does site support browsers other than Internet Explorer (IE)? |
Yes |
|
Vendor |
Optum (formerly Change Healthcare) |
|
Transactions available |
Claim/encounter submission, claim attachments, electronic remittance advice (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 |
PNC |
|
Transactions available |
Electronic remittance advice (ERA) |
|
Website |
|
|
Phone |
|
|
Does site support browsers other than Internet Explorer (IE)? |
No |
|
Vendor |
PNT Data |
|
Transactions available |
Claim/encounter submission, claim attachments, electronic remittance advice (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, claim attachments, claim status inquiry, eligibility, electronic remittance advice (ERA), 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, electronic remittance advice (ERA), eligibility, claim status inquiry |
|
Website |
|
|
Phone |
|
|
Does site support browsers other than Internet Explorer (IE)? |
Yes |
|
Vendor |
Veradigm (formerly Allscripts) (formerly Payerpath / Misys) |
|
Transactions available |
Claim submission, electronic remittance advice (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, electronic remittance advice (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.