Transcription of Provider Manual - Aetna
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Provider Manual - Aetna
Provider Manual Resources, policies and procedures at your fingertips S (9/21) Welcome to your Provider Manual Your Provider 5 Creating a diverse, equitable and safe 5 A word about 5 Here to help you .. 5 Changes and updates .. 6 New to the Aetna network? .. 6 Local network 6 Provider data 7 Updating your data helps patients find you .. 7 Medicare and commercial 7 Provider roster requirements .. 7 Helpful 9 Key contacts .. 10 Electronic Eligibility and benefits 12 Patient cost estimator* .. 12 Authorization adds, inquiries and 12 Referral add and 13 Claim Claim disputes and appeals .. 13 Claim status 13 Rules for electronic Electronic payment Online claims Explanation of Benefits (EOB) Electronic remittance advice (ERA)..14 Capitated providers.
Patient-centered medical home (PCMH) .....45 Physician pay for performance (P4P).....46 Clinical medical management ... We are an equal opportunity employer. We believe in and promote a diverse, equitable and safe workplace environment. We count on …
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