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Third Party Claim and Code Review Program

As of March 1, 2020, you may see new claims edits. You can view these edits on our provider website. You’ll have access to our prospective claims editing disclosure tool. After you log in, go to My Health Plans > Aetna > Claims > Policy Information > Expanded Claim Edits to find out if our new claims edits will apply to your claim.


These new edits are part of our Third Party Claim and Code Review Program. They support our continuing effort to process claims accurately.


This is subject to regulatory review and separate notification in Washington state.