![]() ![]() Once the provider has access, instructions for reconsideration thru the portal can be found here. This requires the provider to request access to the portal . This requires the provider to fill out the PAR Provider Dispute Form.Īlternatively, a PAR provider can also submit a Reconsideration via the secure web portal for better convenience. Please note, claim resubmissions are mailed to the following address:Ĭlaim Reconsiderations for PAR providers (Dispute) – a claim for a PAR provider in which the provider is not correcting the claim in anyway, but disagrees with the original claim outcome and wishes to challenge the payment or denial of a claim. Paper claims should also have the word ‘RESUBMISSION’ written across the top of the claim. Resubmitted claims should be clearly marked “Resubmission” on the envelope.įor out-of-network providers seeking payment of claims for emergency, post-stabilization and other services authorized by us, please refer to the policies and procedures in the provider manual.Ĭlaim Resubmission, Reconsideration and AppealsĬlaim Resubmission (Corrected Claim) – a claim that is resubmitted to Aetna Better Health Premier Plan MMAI via the same process of a new day claim (via provider’s claims tool, Aetna’s claims portal, or mailed) but the claim itself has been corrected in some way and the claim is designated as ‘Corrected’ via Bill Type code. ![]() Or you can mail hard copy claims or resubmissions to: Obtaining a Claim status in ConnectCenterĬontact your Provider Services representative for more information on electronic billing.Keying Institutional Claims in ConnectCenter.Keying Professional Claims in ConnectCenter.Getting Started with Claims in ConnectCenter.Getting Started with Provider Management in Connect Center.Getting Started with Eligibility in Connect Center.Please review the guides below for verifying member eligibility and claim submissions. Change Healthcare has produced and made available the Getting Started with the Sign-Up process guide (PDF) guide to assist in general navigation and registration with ConnectCenter powered by Change Healthcare office. In order to ensure that you have as much time as possible to transition to ConnectCenter, we highly recommend that you start using it immediately. However, we will provide continued access to old claims by allowing you to log in directly to the Reporting & Analytics feature, within Emdeon Office. ![]() After that date, most of your Emdeon Office account will be deactivated. You will be able to use your ConnectCenter and Emdeon Office accounts at the same time until. Within the next two months, ConnectCenter will replace Emdeon Office, giving you a more reliable and more complete way to submit claims. To read the Webconnect manual click here (PDF). Emdeon Office is a contracted vendor used by Aetna Better Health Premier Plan MMAI for electronic claim submission, processing and support. WebConnect is our free provider claims submission portal via Emdeon Office. Please use the following Submitter ID and Provider ID numbers when submitting claims to the health plan: Submitter ID# 26337 for both CMS 1500 and UB 04 forms. Aetna Better Health Premier Plan MMAI encourages providers to electronically submit claims, through Emdeon. ![]()
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