Vendor
|
|
Transactions available |
Website |
Phone |
Does site support browsers other than Internet Explorer (IE)? |
|---|---|---|---|---|
|
Aetna’s Provider Portal on Availity® |
Claim/Encounter Submission, Electronic Remittance Advice (ERA), Eligibility, Claim Status Inquiry, Precertification Add/Inquiry, Precertification Notification, Referral Add/Inquiry, Member ID Card, Patient Cost Estimator, Attachments, Electronic Disputes & Appeals, Capitation reports/rosters |
Yes |
||
|
Athenahealth |
Claim Submission, ERA, Eligibility, Claim Status Inquiry |
Yes |
||
|
Availity |
Claim/Encounter Submission, ERA, Eligibility, Claim Status Inquiry, Precertification Add/Inquiry, Precertification Notification, Referral Add/Inquiry, Member ID Card, Patient Cost Estimator, Attachments, Electronic Disputes & Appeals, Capitation reports/rosters |
Yes |
||
|
Availity RCM (RealMed) |
Claim Attachments, Claim Status Inquiry, Claim Submission, Eligibility, ERA |
Yes |
||
|
Cerner |
ERA, Eligibility, Precertification Add/Inquiry, Precertification Notification, Referral Inquiry |
No |
||
|
Experian Health (formerly Passport Health) |
Claim/Encounter Submission, Claim Attachments, Claim Status Inquiry, Eligibility, Precertification Add/Inquiry, Precertification Notification, Referral Add/Inquiry |
Yes |
||
|
FinThrive (formerly nThrive / Medassets / Xactimed / TransUnion Healthcare /MedData) |
Claim Status Inquiry, Claim Submission, Eligibility, Encounters, ERA, Precertification Add, Precertification Notification |
No |
||
|
HealthLogic (Bank of America) |
ERA |
No |
||
|
Infinedi |
Claim Submission, ERA |
No |
||
|
Inovalon (formerly ABILITY Network) |
Claim Submission, ERA, Eligibility, Claim Status Inquiry |
Yes |
||
|
InstaMed |
Claim Submission (Professional only), ERA, Eligibility |
Yes |
||
|
Jopari |
Claim Attachments |
Yes |
Vendor |
Aetna’s Provider Portal on Availity® |
|---|---|
Transactions available |
Claim/Encounter Submission, Electronic Remittance Advice (ERA), Eligibility, Claim Status Inquiry, Precertification Add/Inquiry, Precertification Notification, Referral Add/Inquiry, Member ID Card, Patient Cost Estimator, Attachments, Electronic Disputes & Appeals, Capitation reports/rosters |
Website |
|
Phone |
|
Does site support browsers other than Internet Explorer (IE)? |
Yes |
Vendor |
Athenahealth |
Transactions available |
Claim Submission, ERA, Eligibility, Claim Status Inquiry |
Website |
|
Phone |
|
Does site support browsers other than Internet Explorer (IE)? |
Yes |
Vendor |
Availity |
Transactions available |
Claim/Encounter Submission, ERA, Eligibility, Claim Status Inquiry, Precertification Add/Inquiry, Precertification Notification, Referral Add/Inquiry, Member ID Card, Patient Cost Estimator, Attachments, Electronic Disputes & Appeals, Capitation reports/rosters |
Website |
|
Phone |
|
Does site support browsers other than Internet Explorer (IE)? |
Yes |
Vendor |
Availity RCM (RealMed) |
Transactions available |
Claim Attachments, Claim Status Inquiry, Claim Submission, Eligibility, ERA |
Website |
|
Phone |
|
Does site support browsers other than Internet Explorer (IE)? |
Yes |
Vendor |
Cerner |
Transactions available |
ERA, Eligibility, Precertification Add/Inquiry, Precertification Notification, Referral Inquiry |
Website |
|
Phone |
|
Does site support browsers other than Internet Explorer (IE)? |
No |
Vendor |
Experian Health (formerly Passport Health) |
Transactions available |
Claim/Encounter Submission, Claim Attachments, Claim Status Inquiry, Eligibility, Precertification Add/Inquiry, Precertification Notification, Referral Add/Inquiry |
Website |
|
Phone |
|
Does site support browsers other than Internet Explorer (IE)? |
Yes |
Vendor |
FinThrive (formerly nThrive / Medassets / Xactimed / TransUnion Healthcare /MedData) |
Transactions available |
Claim Status Inquiry, Claim Submission, Eligibility, Encounters, ERA, Precertification Add, Precertification Notification |
Website |
|
Phone |
|
Does site support browsers other than Internet Explorer (IE)? |
No |
Vendor |
HealthLogic (Bank of America) |
Transactions available |
ERA |
Website |
|
Phone |
|
Does site support browsers other than Internet Explorer (IE)? |
No |
Vendor |
Infinedi |
Transactions available |
Claim Submission, ERA |
Website |
|
Phone |
|
Does site support browsers other than Internet Explorer (IE)? |
No |
Vendor |
Inovalon (formerly ABILITY Network) |
Transactions available |
Claim Submission, ERA, Eligibility, Claim Status Inquiry |
Website |
|
Phone |
|
Does site support browsers other than Internet Explorer (IE)? |
Yes |
Vendor |
InstaMed |
Transactions available |
Claim Submission (Professional only), ERA, Eligibility |
Website |
|
Phone |
|
Does site support browsers other than Internet Explorer (IE)? |
Yes |
Vendor |
Jopari |
Transactions available |
Claim Attachments |
Website |
|
Phone |
|
Does site support browsers other than Internet Explorer (IE)? |
Yes |
|
Vendor |
Transactions available |
Website |
Phone |
Does site support browsers other than Internet Explorer (IE)? |
|---|---|---|---|---|
|
MediStreams |
ERA |
Yes |
||
|
NextGen Healthcare |
Claim Submission (Professional only), ERA, Eligibility, Claim Status Inquiry, Precertification Add/Inquiry, Referral Add/Inquiry, Claim Status Report, Financial Status Request |
Yes |
||
|
Office Ally |
Claim Submission, ERA, Eligibility, Claim Status Inquiry |
Yes |
||
|
Optum (formerly Change Healthcare) |
Claim/Encounter Submission, Claim Attachments, ERA, Eligibility, Claim Status Inquiry, Precertification Add/Inquiry, Precertification Notification, Referral Add/Inquiry, Eligibility, Virtual Credit Card |
Yes |
||
|
PNC |
ERA |
No |
||
|
PNT Data |
Claim/Encounter Submission, Claim Attachments, ERA, Eligibility, Claim Status Inquiry, Precertification Add/Inquiry, Precertification Notification, Referral Add/Inquiry |
Yes |
||
|
SSI (ClaimsNet) |
Claim/Encounter Submission, Claim Attachments, Claim Status Inquiry, Eligibility, ERA, Precertification Add/Inquiry, Referral Add/Inquiry, Delegated Decisions |
Yes |
||
|
TriZetto Provider Solutions, a Cognizant Company (formerly Gateway EDI) |
Claim Submission, ERA, Eligibility, Claim Status Inquiry |
Yes |
||
|
Veradigm (formerly Allscripts (PayerPath/Misys)) |
Claim Submission, ERA, Eligibility |
No |
||
|
Waystar (formerly NaviCure and ZirMed) |
Claim/Encounter Submission, Claim Attachments, ERA, Eligibility, Claim Status Inquiry |
Yes |
Vendor |
MediStreams |
|---|---|
Transactions available |
ERA |
Website |
|
Phone |
|
Does site support browsers other than Internet Explorer (IE)? |
Yes |
Vendor |
NextGen Healthcare |
Transactions available |
Claim Submission (Professional only), ERA, Eligibility, Claim Status Inquiry, Precertification Add/Inquiry, Referral Add/Inquiry, Claim Status Report, Financial Status Request |
Website |
|
Phone |
|
Does site support browsers other than Internet Explorer (IE)? |
Yes |
Vendor |
Office Ally |
Transactions available |
Claim Submission, ERA, Eligibility, Claim Status Inquiry |
Website |
|
Phone |
|
Does site support browsers other than Internet Explorer (IE)? |
Yes |
Vendor |
Optum (formerly Change Healthcare) |
Transactions available |
Claim/Encounter Submission, Claim Attachments, ERA, Eligibility, Claim Status Inquiry, Precertification Add/Inquiry, Precertification Notification, Referral Add/Inquiry, Eligibility, Virtual Credit Card |
Website |
|
Phone |
|
Does site support browsers other than Internet Explorer (IE)? |
Yes |
Vendor |
PNC |
Transactions available |
ERA |
Website |
|
Phone |
|
Does site support browsers other than Internet Explorer (IE)? |
No |
Vendor |
PNT Data |
Transactions available |
Claim/Encounter Submission, Claim Attachments, ERA, Eligibility, Claim Status Inquiry, Precertification Add/Inquiry, Precertification Notification, Referral Add/Inquiry |
Website |
|
Phone |
|
Does site support browsers other than Internet Explorer (IE)? |
Yes |
Vendor |
SSI (ClaimsNet) |
Transactions available |
Claim/Encounter Submission, Claim Attachments, Claim Status Inquiry, Eligibility, ERA, Precertification Add/Inquiry, Referral Add/Inquiry, Delegated Decisions |
Website |
|
Phone |
|
Does site support browsers other than Internet Explorer (IE)? |
Yes |
Vendor |
TriZetto Provider Solutions, a Cognizant Company (formerly Gateway EDI) |
Transactions available |
Claim Submission, ERA, Eligibility, Claim Status Inquiry |
Website |
|
Phone |
|
Does site support browsers other than Internet Explorer (IE)? |
Yes |
Vendor |
Veradigm (formerly Allscripts (PayerPath/Misys)) |
Transactions available |
Claim Submission, ERA, Eligibility |
Website |
|
Phone |
|
Does site support browsers other than Internet Explorer (IE)? |
No |
Vendor |
Waystar (formerly NaviCure and ZirMed) |
Transactions available |
Claim/Encounter Submission, Claim Attachments, ERA, Eligibility, Claim Status Inquiry |
Website |
|
Phone |
|
Does site support browsers other than Internet Explorer (IE)? |
Yes |
Legal notices
Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna).
Health benefits and health insurance plans contain exclusions and limitations.