This update applies to Aetna’s Commercial, Medicare and Student Health members.
Beginning September 1, 2023, you may see new claim edits. These are part of our CCRP. These edits support our continuing effort to process claims accurately for our commercial, Medicare and Student Health members. You can view these edits on our Availity provider portal.*
For coding changes, go to Aetna Payer Space > Resources > Expanded Claim Edits
With the exception of Student Health, you’ll also have access to our code edit lookup tools. To find out if our new claim edits will apply to your claim, log in to the Availity provider portal. You’ll need to know your Aetna® provider ID number (PIN) to access our code edit lookup tools
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