We have provided self-service tools that allow providers and their representatives to pull basic claim status at their own convenience. Starting April 1, 2020, we will guide providers to use the Aetna Voice Advantage or our provider portal for basic claim status/inquires. We will continue to assist and service claim issues and more complex questions.
What is the difference between basic claim status/inquiry and claim issues?
Basic claim status/inquiry |
Claim issues |
When did the claim pay?
What is the EFT number?
Why did line ___ not pay?
How much did the claim pay?
I didn’t get my EOB on this, can you tell me how it paid?
|
I was expecting more of a payment. Can you tell me how my payment was calculated?
What if I don’t agree with how the claim was paid/denied?
Can you tell me what information is being requested?
|
Need access to the provider portal?
Why is this change happening?
Providing exceptional service to our members and participating providers is very important to us. To this end, we are always looking to deliver more efficient solutions to meet your needs. This change will allow for shorter wait times and less time waiting for a response to your written claim status requests.
You are now being directed to the AMA site
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You are now being directed to the Give an Hour site
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You are now being directed to the CVS Pharmacy site
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You are now being directed to the CDC site
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Aetna is proud to be part of the CVS Health family.
You are now being directed to the CVS Health site.
You are now being directed to the Apple.com COVID-19 Screening Tool
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You are now being directed to the US Department of Health and Human Services site
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You are now being directed to the CVS Health COVID-19 testing site
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You are now being directed to
The Fight Is In Us site
Links to various non-Aetna sites are provided for your convenience only. Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites.
Links to various non-Aetna sites are provided for your convenience only. Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites.
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