  |
News
Aetna Reconsiders ARNP Payments
Recent News
- BMI Administers Federal Insurance Plan in Iowa
Published: - New TPA for Creighton Student Plan
Published: - Aetna Policy and Practice Updates
Published: - President's Message
Published: - Magellan Behavioral Health Network
Published: - Online Claims Save Time and "Green"
Published: - Aetna Payment Estimators Help Determine Patients’ Costs
Published: - 5010 Preparation Under Way
Published: - CIGNA ID Card Brochure
Published: - Groups Access Network through Sanford Health Plan
Published: - Webinar Invitation List
Published: - Five Steps to a Successful Appeal
Published: - Lockheed Martin Corporation Cards Incorrect
Published: - Rehabilitation Order Issued for American Community
Published: - Great-West Accesses Midlands Choice in South Dakota
Published: - Highlights of 2010 CPT Changes
Published: - South Dakota Group Accesses Midlands Choice Network
Published: - CIGNA and Great-West Healthcare Precertification
Published: - Note to Bariatric Surgery Providers for CIGNA Patients
Published: - Aetna Student Health Plans Addresses Have Changed
Published: - Aetna Online Resources
Published: - Keep Us Up to Date on Demographic Changes
Published: - Staff Profile
Published: - 2009 Provider Survey Results
Published: - NaviNet Link Includes Access to Both Aetna and CIGNA
Published: - President’s Message
Published: - Aetna Reconsiders ARNP Payments
Published: - Great Western Bank
Published: - Nebraska Law Impacts Lab Billing
Published: - New Great-West ID Cards
Published: - Questions About Our Website?
Published: - Whirlpool
Published: - News Archives
Due to a mapping problem, providers may have experienced services of Advanced Registered Nurse Practitioners (ARNP) denied for payment by Aetna. This impacted claims submitted from Nov. 14 through Dec. 17, 2009. While Aetna did implement a "fix", the problem re-occurred for claims submitted from January 22 through January 28, 2010.
Aetna is sweeping its system for all services performed by an ARNP and will automatically adjudicate claims. It will not be necessary to contact Midlands Choice or Aetna to have a claim reconsidered for payment. Because this impacted all providers nationally with these credentials, it is anticipated it will be 60 days before all claims have been reconsidered for benefits.
Aetna apologizes for any inconvenience this may have caused providers.
