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How to use Aetna's electronic referrals
WEBYou don’t have to enter a procedure code for electronic referral transactions. Referrals submitted without a procedure code will default to a consultation only. If you enter a procedure code, you should use either a CPT or HCPCS code. You may also input CPT …
Actived: 8 days ago
Authorization Form for Third-Party Access to NaviNet
WEBThis authorization form will enable the third party listed above access to all present and future health plans available to your provider organization within NaviNet. Provider entity confirms that the third party has signed a written agreement pursuant to which it has …
Electronic Claim Submission
WEBSelect either Direct Data Entry or Claim File Upload. Complete Supplemental Registration for Online Claim. Indicate agreement/readiness to submit test file. Action: Browse your patient management system to locate Aetna claims you wish to submit for test file. Test …
Electronic Claims Submission
WEBA: Within the claim submission transaction, there is an area entitled “Claim Manager.”. Within Claim Manager, there is a display screen that shows the status of the claims. It first shows the status of the claim at the clearinghouse (HealthFusion) prior to submission to …
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