August 22, 2012

Aetna’s Electronic Claim SubmissionShannon Montgomery, Aetna Learning ConsultantJenee Dederichs, Aetna Learning Consultant

Aetna Inc.Aetna’s Electronic Claim Submission

Agenda

• Benefits of electronic claim submission• Electronic claim submission options• Tools available on Aetna’s secure provider website• Aetna’s education site for health care professionals

Aetna Inc.Aetna’s Electronic Claim Submission

Benefits of Electronic Claim Submission

• Save time and money• Quicker payments• Safe, secure transmission• Confirmation – you’ll get an acknowledgment as soon

as we receive your claims

Aetna Inc.Aetna’s Electronic Claim Submission

Electronic Claim Submission Options

Vendor or

Clearinghouse

Aetna’s secure provider website

Aetna EDI Connect℠

Aetna Inc.Aetna’s Electronic Claim Submission

Aetna’s Secure Provider Website

1-888-482-8057 Contact:

Aetna Inc.Aetna’s Electronic Claim Submission

Eligibility and Benefits Inquiry

Sample Provider – NPI #123456789Immunizations - 80

Aetna Inc.Aetna’s Electronic Claim Submission

Eligibility Details

Aetna Inc.Aetna’s Electronic Claim Submission

Claims

Aetna Inc.Aetna’s Electronic Claim Submission

Claim Submission

Aetna Inc.Aetna’s Electronic Claim Submission

Claim Status Inquiry

Aetna Inc.Aetna’s Electronic Claim Submission

Claim Status Inquiry Result

Aetna Inc.Aetna’s Electronic Claim Submission

Electronic Explanation of Benefits

Aetna Inc.Aetna’s Electronic Claim Submission

Aetna’s Education Site for Health Care Professionals

www.AetnaEducation.comVisit:

Aetna Inc.Aetna’s Electronic Claim Submission

Thank You