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Aetna Dental Frequently Asked Questions

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.How do I register for Aetna's secure site for dentists?.
.What type of information is on Aetna's secure site?.
.If I register for the secure site, do I have to submit claims through this portal? .
.Do I have to register for the secure site to get the free continuing-education credits?.
.Can I submit claims electronically for all carriers?.
.Can I check eligibility?.
.What is ClaimConnect?.
.What are the benefits of registering for ClaimConnect?.
.Do I need special equipment?.
.Do I have to use the electronic services offered through AetnaDental.com?.
. If I have a problem submitting claims, whom do I call?.
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How do I register for Aetna's secure site for dentists?
To register for Aetna's secure site for dentists, simply click on the “Register Now” link which will bring you to a short online form you will need to complete prior to accessing the secure site. Have your dentist license number, Social Security number and/or tax identification number handy when you register.

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What type of information is on Aetna's secure site?
Aetna's secure site is an online gateway to provide you with tools and educational resources to help increase your efficiency while saving time and money.

You will have access to:

  • Electronic services via a secure Web site:
    • Submit claims and encounters for multiple payers
    • Perform real-time eligibility inquiries
    • Make claim status inquiries
    • View DMO monthly compensation lists (participating providers only)
    • Check DMO eligibility rosters including weekly updates (participating providers only)
    • View Electronic Remittance Advice (ERA)
  • Additional secure features
    • Access downcoding and bundling policies
    • Submit name, address, and phone number changes online
    • View dental office guides (participating providers only)

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If I register for the secure site, do I have to submit claims through this portal?
No, you are not obligated to submit claims through this portal. Aetna Dental is offering this option to enable dental offices to submit claims through a single portal for multiple claims payors.

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Do I have to register for the secure site to get the free continuing-education credits?
Yes, you need to register for the secure site in order to access the free continuing-education credits.

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Can I submit claims electronically for all carriers?
You can submit claims for most carriers.

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Can I check eligibility?
Yes, you can check eligibility in real time for your Aetna patients by using ClaimConnect by dentalxchange.com.

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What is ClaimConnect?
ClaimConnect is a service from EDI Health Group (EHG) that lets dental offices submit electronic claims to payers and check claims status via the Internet. It also provides online eligibility verification and benefits-plan details for all Aetna Dental members.

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What are the benefits of registering for ClaimConnect?
Claims advantages:
  • Instant online editing and resubmission
  • Fewer claims returned due to missing information
  • Faster reimbursement
  • No telephone calls, faxes, stamps or paperwork
  • Works with most practice-management systems

DMO eligibility advantages:

  • Ability to print your roster at beginning of each month
  • Ability to view your roster online any time — - Now includes weekly updates!
  • Consolidated online roster, if you work with more than one payer
  • Instant access to patient-level co-payments, limitations and exclusions
  • Easier encounter submission
  • Multiple patient lookup at one time

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Do I need special equipment?
You need only the ability to get on the Internet. So, you need to have a computer with a modem, an Internet service provider (ISP) connection and an Internet browser application. We recommend a modem speed of at least 56K, although you may prefer a high-speed connection (DSL or cable).

Following are the minimum browser requirements for various ClaimConnect services:

Feature Minimum Browser Requirement
Submit single claims or encounters online

Check eligibility, plan details and claims status

View and download DMO rosters
Microsoft Internet Explorer 5.5
AOL 6.0
Netscape 4.78
(or higher for each browser)
Submit batch claims from a practice-management system Microsoft Internet Explorer 5.5 or higher

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Do I have to use the electronic services offered through AetnaDental.com?
No. The decision to use an electronic claims vendor is completely up to you. In addition to the services available through AetnaDental.com, Aetna also has a preferred relationship with WebMD Dental. More information about WebMD Dental is posted on the main page of aetnadental.com.

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If I have a problem submitting claims, whom do I call?
If you experience problems submitting claims via services offered by EDI Health Group, you can contact EHG Customer Service at 1-800-990-1655.

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ClaimConnect, WebClaim and dentalxchange are all registered trademarks of EHG (EDI Health Group, Inc.) and its subsidiaries. Aetna, EHG (EDI Health Group) and WebMD Envoy are independent contractors and not employees or agents of the other. Aetna has contracts with multiple vendors for electronic connectivity tools, including but not limited to, a preferred relationship with WebMD Dental, a service of WebMD Business Services. This information is subject to change without notice and does not constitute a guarantee by Aetna of any kind. “Aetna” is the brand name for products and services provided by one or more of the Aetna group of subsidiary companies, which include Aetna Life Insurance Company, Aetna Health Inc., Aetna Dental of California Inc., and/or Aetna Dental Inc.


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