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03/17/2025

Aetna

Aetna's Spring 2025 Provider Newsletter: Aetna Better Health Premier Plan is Available HERE
Below are a few articles that may be relevant to you:

  • Balance Billing (Page 3)
  • Quality Program (Page 3)
  • Retrospective Review Primer (Page 4)
  • Pharmacy Benefits (Page 10)
  • Performance Improvement Projects (Page 15)
  • HEDIS® Data Collection to Begin (Page 17)


Aetna's March 2025 OfficeLink Update is Available HERE
Below are a few articles that may be relevant to you:

  • Claim and Code Review Program (CCRP) update (Page 6)
  • Changes to commercial drug lists begin on July 1 (Page 7)
  • Revenue Integrity team launches online risk adjustment training (Page 18)
  • New provider onboarding webinar for providers and their staff (Page 19)
  • We continue to make improvements to our Aetna Virtual Assistant based on your feedback (Page 26)
  • Best practices for billing Coordination of Benefits (COB) claims (Page 27)
  • Aetna® HEDIS® data collection is underway (Page 29)
  • You must avoid billing Qualified Medicare Beneficiaries (QMBs) for cost sharing (Page 50)


 

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