Aetna evidence 2025

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2018 4.8 Satisfied (51 Votes)
2017 4.4 Satisfied (56 Votes)
2013 4.2 Satisfied (73 Votes)
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Every policy has a written Evidence of Coverage (EOC). The EOC is your guide to what is covered and what is excluded, how much you will pay depending on the circumstances, what your cost sharing will be, and other information about using your coverage.
Aetnas struggle with higher-than-expected medical costs this year is a clear signal that the problem is acute. Its a complex issue with no easy solutions, as these costs are driven by a myriad of factors, including advances in medical technology, an aging population, and the increasing prevalence of chronic diseases.
Your EOB is a summary of your prescription drug claims and costs. It also lists any changes to your plans drug list, or formulary, that may affect you. Use your EOB to see your progress through the Medicare Part D coverage phases, including the coverage gap.
You can search online on Provider Connection for claims submitted for Blue Shield, Blue Shield Promise, out-of-area Blue plans (BlueCard), and the Federal Employee Program (FEP). Search and filter for specific claims using member, provider, or claim data to download the claim EOB and view remittance advice.
EOBs are usually mailed once per month. Some plans give you the option of accessing your EOB online. Your EOB is a summary of the services and items you have received and how much you may owe for them.
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In the same year, Medicare denied 6.85% of its claims. One year later, AMA reported that all the surveyed insurers were denying fewer claims: Aetnas denial rate was down to 1.81%, Anthem BCBS reduced its rate to 4.34%, and private insurers overall were down to 2.79%, while Medicare denied only 4% of claims.
The claim Explanation of Benefits (EOB) tool is available on our secure provider website on NaviNet. The tool gives you access to EOBs available for taxpayer identification numbers (TINs). You can also view archived EOBs, back two years from the current date.
Access .aetnadental.com to register for or log in to our secure provider website. Choose the View Explanation of Benefits link. From there, click on the Claim EOB Tool. It offers these three functions: EOB activity on this page, youll see a list of TINs with new EOB activity, as well as the dates of the EOB.

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