Aetna Eligibility Issues with Walmart Members

Please see the update below from Aetna regarding checking eligibility for Walmart members. Evidently you can only check eligibility for them electronically using the name and DOB.

Purpose:

We’d like to let you know that using certain search criteria, users are unable to get successful real-time eligibility and benefits responses for Walmart members.

Overview:

Using certain search criteria, users attempting to get eligibility and benefits details for Walmart members are receiving an error code of “Subscriber/Insured Not Found” (AAA75).

— To receive a successful response, users can use the Name/date of birth search option.

— The following search criteria will not return a successful response, that is, using these search criteria will return an error:

– Walmart ID/date of birth
– Walmart ID/name
– Walmart ID/name/date of birth

We’re in the process of identifying the root cause of this issue. We’ll send additional information after we’ve determined how to correct this issue.