The online patient roster offers an easy way to confirm that your patients are covered and get plan information. It's all available to you through our free, secure provider website.
The online patient roster:
The roster lists Aetna members who have chosen a dentist in your office as their primary care dentist (PCD). It includes members who have Dental Maintenance Organization (DMO®) plans. It also lists Health Maintenance Organization (HMO) members with Aetna dental coverage.
You can begin using the online patient roster by registering with ClaimConnect™, a service of EDI Health Group.
Do you want to know more about this free service? You can find answers below for some common questions.
What information will be included in the online patient roster?
Your online patient roster will include:
Who do I contact if I have a question regarding receipt of my online patient roster?
If you have questions, call ClaimConnect customer service at 1-800-576-6412, extension 452. If the customer support area is unable to resolve an issue, it will be passed on to the EDI Assistance Center.
Why is the data on the weekly patient eligibility roster different from what is on the monthly Aetna DMO active patient roster?
The two reports are not the same. They come from different Aetna systems and are produced on different schedules. For this reason, they may not list exactly the same members.
The DMO active patient roster is produced monthly. It lists the Aetna members who have chosen you as their primary care dentist. It also includes your monthly payment information based on that list.
The dental patient eligibility roster is issued each week. It updates the list of your patients who have been added or removed since the previous week.
Will the online patient roster file include all HMO members?
No. The patient roster lists only those HMO members who have chosen a valid Aetna dental office.
What codes are used to define the member's relationship to the subscriber?
You may find these values on the file:
Subscriber — 18
What codes are used to show which family members are covered?
You may find these codes:
Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies (Aetna). Dental benefits and dental insurance plans are underwritten by Aetna Dental Inc., Aetna Dental of California Inc., and Aetna Health Inc. and/or Aetna Life Insurance Company (Aetna). In Texas by Aetna Dental Inc. and in Virginia, the DMO plan is known as the Dental Network Only plan (DNO). DNO in Virginia is not an HMO. To receive maximum benefits, members must choose a participating primary care dentist to coordinate their care with network providers. Each insurer has sole responsibility for its own products.
Vendors are independent contractors and not employees or agents of Aetna or participating providers of Aetna. Aetna does not endorse any electronic connectivity tools and services provided by vendors. This information is subject to change without notice and does not constitute a guarantee by Aetna of any kind.
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.Continue >