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Third Party Claim and Code Review Program


Effective December 1, 2019, you may see new claims edits. These new edits are part of our Third Party Claim and Code Review Program. These edits support our continuing effort to process claims accurately. 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 Plan Central > Aetna Claims Policy Information > Policy Information > Expanded Claim Edits to find out if our new claims edits will apply to your claim.
 

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