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	Visit Availity	1-800-282-4548	Yes
ABILITY Network	Claim Submission, ERA, Eligibility, Claim Status Inquiry	Visit ABILITY network	1-888-558-0569	Yes
Allscripts (PayerPath/Misys)	Claim Submission, ERA, Eligibility	Visit Allscripts	1-800-334-8534	No
Athenahealth	Claim Submission, ERA, Eligibility, Claim Status Inquiry	Visit Athenahealth	1-800-981-5084	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	Visit Availity	1-800-282-4548	Yes
Availity RCM (RealMed)	Claim Submission, ERA, Eligibility, Claim Status Inquiry	Visit Availity RCM	1-800-282-4582	Yes
Cerner	ERA, Eligibility, Precertification Add/Inquiry, Precertification Notification, Referral Inquiry	Visit Cerner	1-816-221-1024	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	Visit Change Healthcare	1-866-817-3813	Yes
Experian Health (formerly Passport Health)	Claim/Encounter Submission, Eligibility, Claim Status Inquiry, Precertification Add/Inquiry, Precertification Notification, Referral Add/Inquiry	Visit Experian Health	1-888-661-5657	Yes
HealthLogic (Bank of America)	ERA	Visit HealthLogic	1-888-877-0658	No
Infinedi	Claim Submission, ERA	Visit Infinedi	1-800-688-8087	No
InstaMed	Claim Submission (Professional only), ERA, Eligibility	Visit InstaMed	1-866-467-8263	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	Visit Availity
Phone	1-800-282-4548
Does site support browsers other than Internet Explorer (IE)?	Yes
Vendor	ABILITY Network
Transactions available	Claim Submission, ERA, Eligibility, Claim Status Inquiry
Website	Visit ABILITY network
Phone	1-888-558-0569
Does site support browsers other than Internet Explorer (IE)?	Yes
Vendor	Allscripts (PayerPath/Misys)
Transactions available	Claim Submission, ERA, Eligibility
Website	Visit Allscripts
Phone	1-800-334-8534
Does site support browsers other than Internet Explorer (IE)?	No
Vendor	Athenahealth
Transactions available	Claim Submission, ERA, Eligibility, Claim Status Inquiry
Website	Visit Athenahealth
Phone	1-800-981-5084
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	Visit Availity
Phone	1-800-282-4548
Does site support browsers other than Internet Explorer (IE)?	Yes
Vendor	Availity RCM (RealMed)
Transactions available	Claim Submission, ERA, Eligibility, Claim Status Inquiry
Website	Visit Availity RCM
Phone	1-800-282-4582
Does site support browsers other than Internet Explorer (IE)?	Yes
Vendor	Cerner
Transactions available	ERA, Eligibility, Precertification Add/Inquiry, Precertification Notification, Referral Inquiry
Website	Visit Cerner
Phone	1-816-221-1024
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	Visit Change Healthcare
Phone	1-866-817-3813
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	Visit Experian Health
Phone	1-888-661-5657
Does site support browsers other than Internet Explorer (IE)?	Yes
Vendor	HealthLogic (Bank of America)
Transactions available	ERA
Website	Visit HealthLogic
Phone	1-888-877-0658
Does site support browsers other than Internet Explorer (IE)?	No
Vendor	Infinedi
Transactions available	Claim Submission, ERA
Website	Visit Infinedi
Phone	1-800-688-8087
Does site support browsers other than Internet Explorer (IE)?	No
Vendor	InstaMed
Transactions available	Claim Submission (Professional only), ERA, Eligibility
Website	Visit InstaMed
Phone	1-866-467-8263
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	Visit MediStreams	1-888-267-4835	Yes
NextGen Healthcare	Claim Submission (Professional only), ERA, Eligibility, Claim Status Inquiry, Precertification Add/Inquiry, Referral Add/Inquiry, Claim Status Report, Financial Status Request	Visit NextGen Healthcare	1-877-523-2120	Yes
FinThrive / nThrive / Medassets / Xactimed	Claim Submission, ERA, Change Healthcare, Waystar, PNT Data, Claims Attachment Transactions	Visit nThrive	1-888-883-6332	No
Office Ally	Claim Submission, ERA, Eligibility, Claim Status Inquiry	Visit Office Ally	1-360-975-7000	Yes
PNC	ERA	Visit PNC	1-412-762-0602	No
PNT Data	Claim/Encounter Submission, Claim Attachments, ERA, Eligibility, Claim Status Inquiry, Precertification Add/Inquiry, Precertification Notification, Referral Add/Inquiry	Visit PNT Data	1-860-257-2030	Yes
SSI (ClaimsNet)	Claim/Encounter Submission, ERA, Eligibility, Claim Status Inquiry, Precertification Add/Inquiry, Referral Add/Inquiry, Delegated Decisions	Visit SSI	1-800-881-2739	Yes
TransUnion Healthcare (formerly MedData)	Eligibility, Claim Status Inquiry, Precertification Add, Precertification Notification	Visit TransUnion Healthcare	1-877-633-3282	Yes
TriZetto Provider Solutions (formerly Gateway EDI)	Claim Submission, ERA, Eligibility, Claim Status Inquiry	Visit TriZetto Provider Solutions	1-800-969-3666	Yes
Waystar (formerly NaviCure and ZirMed)	Claim/Encounter Submission, Claim Attachments, ERA, Eligibility, Claim Status Inquiry	Visit Waystar	1-844-692-9782	Yes

Vendor	MediStreams
Transactions available	ERA
Website	Visit MediStreams
Phone	1-888-267-4835
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	Visit NextGen Healthcare
Phone	1-877-523-2120
Does site support browsers other than Internet Explorer (IE)?	Yes
Vendor	FinThrive / nThrive / Medassets / Xactimed
Transactions available	Claim Submission, ERA, Change Healthcare, Waystar, PNT Data, Claims Attachment Transactions
Website	Visit nThrive
Phone	1-888-883-6332
Does site support browsers other than Internet Explorer (IE)?	No
Vendor	Office Ally
Transactions available	Claim Submission, ERA, Eligibility, Claim Status Inquiry
Website	Visit Office Ally
Phone	1-360-975-7000
Does site support browsers other than Internet Explorer (IE)?	Yes
Vendor	PNC
Transactions available	ERA
Website	Visit PNC
Phone	1-412-762-0602
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	Visit PNT Data
Phone	1-860-257-2030
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	Visit SSI
Phone	1-800-881-2739
Does site support browsers other than Internet Explorer (IE)?	Yes
Vendor	TransUnion Healthcare (formerly MedData)
Transactions available	Eligibility, Claim Status Inquiry, Precertification Add, Precertification Notification
Website	Visit TransUnion Healthcare
Phone	1-877-633-3282
Does site support browsers other than Internet Explorer (IE)?	Yes
Vendor	TriZetto Provider Solutions (formerly Gateway EDI)
Transactions available	Claim Submission, ERA, Eligibility, Claim Status Inquiry
Website	Visit TriZetto Provider Solutions
Phone	1-800-969-3666
Does site support browsers other than Internet Explorer (IE)?	Yes
Vendor	Waystar (formerly NaviCure and ZirMed)
Transactions available	Claim/Encounter Submission, Claim Attachments, ERA, Eligibility, Claim Status Inquiry
Website	Visit Waystar
Phone	1-844-692-9782
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.

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