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Home Tricare 2013 August Aetna Eligibility Issue 8/26/2013

Aetna Eligibility Issue 8/26/2013

Aetna just out a message about a problem with members that have a foreign address. I thought I would pass it on.

 

“Our Eligibility and Benefits Inquiry transaction can’t return eligibility responses when the member has a foreign address. Providers will see one of the following responses:

•           An incomplete response, where the state, postal code and country code fields are blank, or

•           A “Required application data missing” error message

 

Transactions submitted with an inquiry date of 1/1/2013 or later will return the AAA15 error message.

 

As a workaround, providers who are unable to get a complete response for foreign members can call Aetna’s Provider Service Centers at 1-888-MD-AETNA (1-888-632-3862) for complete eligibility information.”

Aug 26, 2013Payer Goddess
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