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Electronic claim status transactions streamline your - Aetna

Electronic claim status transactions streamline your - Aetna 2025

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The document outlines Aetna's electronic claim status transactions designed to streamline the process of checking claim statuses for both electronic and paper submissions. It details three main transaction types: Claim Status Inquiry for individual member inquiries, Financial Status Request for additional financial details post-inquiry, and Claim Status Report for provider-specific inquiries. The document emphasizes the ease of access to these services through Aetna's secure provider website and provides guidance on getting started with electronic connectivity options.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How long does Aetna take to process claims?

You can check claim status: By using Aetna Voice Advantage (AVA), our interactive telephone self-service system. By registering or logging in to your secure site. Through an electronic transactions vendor.

What is the electronic funds transfer for Aetna?

You can submit corrected and voided claims electronically. Just include the originally assigned claims number. Include a procedure code description for codes not otherwise classified or listed.

How do I check my Aetna claim status?

EFT is a free and secure way for you to receive your payments faster. Youll no longer have to wait for checks to arrive in the mail. Aetna can issue EFTs to all healthcare provider types, including those receiving capitation. And, EFT doesnt change our overpayment policies and procedures.

How to check Aetna claim status?

Depending on the complexity of the claim and the availability of information, this investigation can take anywhere from a few days to several weeks. If the claim is found to be valid, the insurance company will usually start paying benefits to the policyholder.

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