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 |
||
|
ABILITY Network |
Claim Submission, ERA, Eligibility, Claim Status Inquiry |
Yes |
||
|
Allscripts (PayerPath/Misys) |
Claim Submission, ERA, Eligibility |
No |
||
|
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 |
||
|
HealthLogic (Bank of America) |
ERA |
No |
||
|
Infinedi |
Claim Submission, ERA |
No |
||
|
InstaMed |
Claim Submission (Professional only), ERA, Eligibility |
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 |
||
|
FinThrive / nThrive / Medassets / Xactimed |
Claim Submission, ERA, Change Healthcare, Waystar, PNT Data, Claims Attachment Transactions |
No |
||
|
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 |
||
|
TransUnion Healthcare (formerly MedData) |
Eligibility, Claim Status Inquiry, Precertification Add, Precertification Notification |
Yes |
||
|
TriZetto Provider Solutions (formerly Gateway EDI) |
Claim Submission, ERA, Eligibility, Claim Status Inquiry |
Yes |
||
|
Waystar (formerly NaviCure and ZirMed) |
Claim/Encounter Submission, Claim Attachments, ERA, Eligibility, Claim Status Inquiry |
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.