These claims will be handled as any other type of claims submitted to Aetna. How does the payment cycle for reimbursement work?
• Collect the copay at the time of service, or advise the provider that there may be additional member out-of-pocket expenses they will be required to collect after the claim is paid. • Submit a claim to Aetna for reimbursement using the appropriate HIPAA compliant CPT codes effective January 1, 2008. • Aetna will then: • Provider reimbursement levels may vary according to a physician’s contract and may vary by market. For example, the average online reimbursement for physicians participating in traditional (non-HMO) plans is $30 in most, but not all markets. Note: The webVisit is the only interaction that is reimbursable. All other transactions (such as requesting appointments, renewing prescriptions, and obtaining lab results), are for convenience purposes only, they are free of charge to the member, and are not reimbursable to the provider. Are there any Aetna plans excluded from this offering? At this time, online visit coverage will not be available to members of Strategic Resourc
• Collect the copay at the time of service, or advise the provider that there may be additional member out-of-pocket expenses they will be required to collect after the claim is paid. • Submit a claim to Aetna for reimbursement using the appropriate HIPAA compliant CPT codes effective January 1, 2008. • 99444 – Physician online evaluation and management • 98969 – Non-physician online assessment and management • Aetna will then: • Process the claim. • Reimburse the provider under their contracted fee schedule. • Provider reimbursement levels may vary according to a physician’s contract and may vary by market. For example, the average online reimbursement for physicians participating in traditional (non-HMO) plans is $30 in most, but not all markets. Note: The webVisit is the only interaction that is reimbursable. All other transactions (such as requesting appointments, renewing prescriptions, and obtaining lab results), are for convenience purposes only, they are free of charge to the m
