Please see the following notice sent from Aetna regarding adding referrals electronically. This was posted on Friday and I haven’t seen an update that it’s been fixed.
Purpose:
We’d like to let you know about issues with our Referral Add transaction. The issue is limited to members with ID numbers beginning with “1010” or “1011.”
Overview:
We’re experiencing issues when Referral Add transactions are attempted for members with ID numbers beginning with “1010” or “1011.” We’re returning the error messages of “Unable to Respond” (AAA-42). In some instances, we’re incorrectly returning responses of “Out of Network” (AAA-35) or “Provider is Not a Primary Care Physician” (AAA-49).
We’ll send an updated communication once we’ve scheduled a fix for this issue.
As there’s no workaround to these issues, we ask that you post the following guidance for your clients: