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Why Register?

  • Secure 24/7 access
  • Submit claims electronically
  • Get claim payment information through ERA/EFT
  • Learn about important Aetna announcements

Claims & administration

Streamline your administrative tasks with our online tools

Administrative tasks can eat up a lot of precious staff time. Our electronic tools make it easier and faster to:

CAQH CORE Phase II Accreditation

Aetna is pleased to announce that is has achieved CAQH® Committee on Operating Rules for Information Exchange (CORE® ) Phase II Certification.  The CORE Seal was awarded after successfully completing CORE certification testing - a process ensuring that healthcare organizations can electronically exchange or access patient information according to the CORE rules.  Visit www.caqh.org for more information.

EDI Savings Calculator

 If you’re looking for ways to reduce your practice’s expenses, consider doing business electronically. See how much you’ll save with our EDI Savings Calculator.

Get started:

1. Free of charge through our secure provider website via NaviNet® 

2. Free of charge using EDI ConnectSM (for the technically savvy)

 
Or contact one of our clearinghouse vendors. 

Use our Precertification Tool

Use our Precertification Tool to find out what CPT codes require precertification.
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Claims Transactions

We offer electronic transactions so you can submit claims and check claim status.
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Claims Transactions
We offer electronic transactions so you can submit claims and check claim status. 


Billing, Payment & Reimbursement
Get claim payment information online through electronic remittance advice, electronic funds transfer, electronic explanation of benefits, view reimbursement guidelines and how we pay out-of-network benefits.

If you're already a member of our Aetna network

Register with our secure website to perform free real-time transactions, set security controls, access multiple health plans and services, use clinical-decision support tools, and more.

New Jersey Providers - Information Concerning Process for Precertification and Claims Submissions:

5010 Transaction Standards
Find important information regarding our plans for transition to version 5010 transaction standards.