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News
Aetna's Coverage for Private Rooms
Recent News
- Cigna Electronic Claim Submission
Published: - Cigna Preventive Health Coverage Guide
Published: - Cigna Medical Policy Updates
Published: - Cigna Updates Intraocular Lens Policy
Published: - Cigna Electronic Transaction Enhancements
Published: - New State Laws on Chemotherapy Coverage
Published: - Cigna Accepts COB Confirmation via Phone
Published: - Single Payer ID for Cigna Claim Submission
Published: - Cigna Clinical Reimbursement and Administrative Policy Updates
Published: - Providers' Rights during the Credentialing Process
Published: - 5010 FAQs
Published: - 2012 Molecular Pathology Codes
Published: - American Enterprise Services
Published: - City of Cedar Rapids
Published: - Pella Regional Health Center
Published: - Palo Alto County Health System
Published: - Aetna Clinical Payment, Coding and Policy Changes
Published: - Meritain Health Acquired by Aetna
Published: - New Aetna Radiology Accreditation Requirements
Published: - Aetna Reviews Medical Drug Claims
Published: - Aetna's Preferred FSH Infertility Drug Coverage Changes
Published: - Aetna's Coverage for Private Rooms
Published: - Aetna to Require Precertification for Polysomnography
Published: - Clarification of Aetna's Stop-Loss Calculation
Published: - Lincoln Electric System
Published: - 5010 Reminders and Updates
Published: - Send Assurant Claims to Midlands Choice
Published: - New Payment Vendor for Trustmark
Published: - Cigna's New Brand
Published: - Aetna Notification Program Update
Published: - Aetna Global Benefits to Become Aetna International
Published: - Aetna Clinical Payment, Coding and Policy Changes
Published: - ENCOMPASS Changes Name to Telligen
Published: - Payers with EFT Capabilities
Published: - Aetna Requests Registration of NPIs
Published: - Aetna Changes Stop Loss Calculations
Published: - Methodist Health System and Jennie Edmundson Hospital
Published: - Floyd Valley Hospital
Published: - City of West Des Moines
Published: - Winneshiek Medical Center
Published: - Spruced-Up Revenue Cycle Precedes Construction Plans
Published: - UNMC Student Plan
Published: - Progressive Swine Technologies
Published: - Christian Brothers Services is New Midlands Choice Payer
Published: - CIGNA Preventive Care Payment Policy Changes
Published: - CIGNA Clinical, Reimbursement and Administrative Policy Updates
Published: - CIGNA Contracts with MedSolutions
Published: - Aetna Electronic Precertification
Published: - Aetna Clinical Payment, Coding and Policy Changes
Published: - New Aetna Precert Requirements Effective July 1
Published: - 5010: Don’t Assume “Someone Else” is Responsible
Published: - News Archives
Aetna provides coverage for private hospital rooms only when medically necessary for the patient. If a hospital bills for a private room when the facility does not have a semi-private room or one is not available, reimbursement is limited to the hospital’s most common semi-private room rate. If the hospital has no semi-private rate, Aetna will determine the most common semi-private room rate.
If an Aetna member chooses a private room, he or she is responsible for the cost difference between the private room and most common semi-private room. When submitting claims for inpatient rooms, hospitals should use proper condition, value and revenue codes.
