Tag: Aetna
Health Plan Representatives Updated 2/25/2021
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Health Plans in Texas Have Adopted Various Temporary Deadlines and Extensions as Part of Their Coronavirus Policies, TMA 1/5/21
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Aetna OfficeLink Updates Published 12/1/2020
For new and updated information on:
- Changes to Aetna’s National Precertification List (NPL)
- Surgical procedures performed in the ER, modifier 54, rate change
- Beginning March 1, 2021 you may see new claim edits. These will be part of Aetna’s 3rd Party Claim and Code Review Program.
- Individual Service Codes are being assigned to Service Groups (a lot of changes are coming)
- Changes in Commercial and Medicare Drug list
- Changes in Prior Authorization Requirements
Aetna OfficeLink Updates, Published 12/1/2020
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Aetna Newsletter 10/1/2020
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Aetna OfficeLink Updates, Published 9/1/2020
- Changes to the National Pre-Certification List
- Third Party Claim and Code Review Program
- And many interesting topics
Aetna OfficeLink Updates, Published 09/01/2020
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Aetna OfficeLink Updates, Published 09/01/2020
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Aetna Fee Schedule
…Now they tell us….
POET has recently been notified by a physician office they were not paid according to the Aetna fee schedule. When the issue was brought to the attention of Aetna, they indicated the fee schedule had been updated back in April.
In the past POET has always been notified of such updates and provided a fee schedule. Yes, the fee schedule always arrived after the effective date but at least we knew it was coming. This year they have apparently chosen not to notify us. We requested the fee schedule and have received it.
We will be sending out packets for participating physicians under the POET Aetna contract. From our first glance at the fee schedule it does appear to follow CMS changes and no other surprises.
Please be on the look out for your packets late next week. If you need information sooner please call or email us.
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