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
Gender
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.