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).
comply with Aetna policies and procedures including those contained in this manual. Visit . Aetna.com. or our provider portal, Availity.com, to find additional policies, procedures and information. You’ll find programs we offer that could benefit your Aetna patients. Plus, electronic transaction tools that save you time.
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