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.
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.”
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: