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We’ve enhanced our claims status responses on our provider portal


You asked. We delivered. We enhanced our claims status responses on our Availity provider portal.*


We already return lots of information in our claims status responses. With these added fields, we made our responses even better. Now you won’t need to call us to get the information you can get electronically and at your convenience.


The changes apply to both professional and institutional claims, as applicable.


What you’ll now see


Your most-requested change was to display proprietary remarks from our Explanations of Benefits (EOB) statements. You can now find our EOB remarks within our claims status responses. No more reading our claims status responses and then reading our EOB statements for greater detail. You’ll now find all the details in our claims status responses, saving you time.


Other fields we’ll now display


Patient information


  • Group number
  • Funding arrangement (fully insured, self-insured)

Claims and payment information


  • Bill type and description
  • Financial details; amounts for health care account; interest or penalty; patient responsibility; allowed; coinsurance, copayment and deductible; and other insurance paid

Join us for a live webinar — we’ll show you the new fields


Try our Claim Status Inquiry transaction today. We’ve already added the new fields to the responses. Or join us for a live webinar. We’ll show you sample claims status responses and how to get the most out of working with us on Availity®. Get the schedule and register for either the “Working with Aetna on Availity” or the “Claim Management Using Availity” webinar (or both).


We look forward to seeing you at a future webinar.


*Availity is available only to U.S. providers and its territories.

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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