Are primary payer explanations of benefits always required when Aetna is the secondary payer?
A. While Aetna does not always require the actual statement of payment or rejection from the primary carrier, we may sometimes need the actual document. Please provide the primary carrier s payment amount in the remarks field, and if we require the actual document, we will request it. The HIPAA format allows for this information to be sent electronically as part of the claim.
Related Questions
- Because Medicare is primary, I have never used the Traditional Choice Indemnity coverage. What are the benefits of the coverage provided under Aetna Medicare Open Plan over Original Medicare?
- How do I bill an Medicare Secondary Payer (MSP) claim when the primary payer applied the entire payment to the patient’s deductible?
- How can the Aetna Medicare Open Plan premiums be less expensive when Aetna is the primary payer of my claims?
