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How does RelayHealth prevent a member who is not eligible for coverage of a webVisit from submitting one after registering on the RelayHealth website?

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How does RelayHealth prevent a member who is not eligible for coverage of a webVisit from submitting one after registering on the RelayHealth website?

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RelayHealth runs an eligibility check any time a patient attempts a webVisit. During the eligibility check, RelayHealth will look at the Group Number and determine that the member is not eligible for coverage of the webVisit. RelayHealth will alert the member that Aetna will not cover the visit, but give the member the option to conduct the visit at his or her own cost. Any member who may already have a relationship with a provider who is contracted with RelayHealth can use the “convenience services” for free even if a plan sponsor does not offer this service to its employees.

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