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Expanded claims edits

We told you in December 2017, March 2018 and September 2018 that we expanded our claims editing capabilities by adding new third-party claims edits. We are adding more edits effective March 1, 2019.


To view these edits, check our provider website for information. There, you’ll have access to a new prospective claims editing disclosure tool. After you log in, go to Plan Central > Aetna Claims Policy Information > Policy Information > Expanded Claims to find out if our new claims edits will apply to your claim.