Check Benefits & Eligibility

Verify benefits eligibility information electronically

Electronic eligibility and benefits information is available at any time, for all our dental plans.

Where can I go to look up benefits and eligibility?

You can check benefits and eligibility by:

  • Using Aetna Voice Advantage® (AVA), our interactive telephone self-service system
  • Registering with or logging in to your secure site
  • Using an electronic transactions vendor

See benefits and eligibility instructions for AVA
 Log in or register
See a list of electronic transactions vendor

What do I need to submit an inquiry?

The information you’ll need depends on the method you use to submit an inquiry.

If you’re using AVA, you’ll need:

  • Provider TIN or NPI
  • Patient ID or subscriber’s Social Security number
  • Patient date of birth
  • ADA code (if using Benefit Details)
  • Fax number

If you’re submitting online, you’ll need:

  • Provider TIN and NPI
  • Patient ID or subscriber’s Social Security number
  • Patient date of birth
  • NOTE: some vendors may require more information to process your request.

What information can I get?

Information you can get includes:

  • Payer information – name and ID
  • Requesting provider name and number with associated information
  • Subscriber/patient information:

SSN or member ID
Group name/number and/or plan name/plan number
Insurer name, address
Date of birth
Facility name and address (claim office)
Plan begin date

  • Procedure code
  • Active coverage
  • Coverage level
  • Insurance type
  • Detailed financials, as applicable (copay, deductible, frequencies etc.)

Depending on the method you use to submit an inquiry, you may not receive all of this information.

What if I get an error response?

Your message will explain the cause of the error. Depending on the error, you may have to re-enter your data or contact your vendor for help. 

Aetna Voice Advantage may not be available for all plans/programs.

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Links to various non-Aetna sites are provided for your convenience only. Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites.

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You are now leaving the Aetna Dental Web site and linking to ClaimConnect*.

Aetna Dental works with ClaimConnectTM offered by EDI Health Group (EHG) to provide easy access to check patient eligibility, file a claim, check claim status, view patient rosters and Electronic Remittance Advice.

Links to ClaimConnect and its content are provided for your convenience. Aetna Inc. and its subsidiary companies assume no responsibility for any circumstances arising out of the use, misuse, interpretation or application of any information or other material provided by EDI Health Group (EHG). Aetna Inc. and its subsidiary companies do not endorse any of the products or services available through EHG. EHG independently develops and maintains its own privacy policies and practices.

*ClaimConnect is a registered trademeark of EHG (EDI Health Group, Inc.) and its subsidiaries.

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