Aetna Healthcare Providers

Our provider payment estimator tool helps your working environment estimate just how much your customers will owe for a company see or process. And it also approximates just how much Aetna will probably pay for services. Plus, you need to use it just before a patient’s scheduled session or procedure.

The repayment estimator is present to participating providers through our secure provider site, and through Availity.

After entering standard patient and statements information, the repayment estimator uses your cost routine along with your patients’ benefits plans to:

• Demonstrate our estimated payment to you personally
• Deliver quotes of client copayments, coinsurance and deductibles
• Allow you to start monetary conversations with clients before, or during, treatment
• Lower, and potentially eradicate, financial surprises for you personally as well as your customers

Browse information and tips about utilising the payment estimator

Physician charge schedule device

This tool provides cost information for a sample scope of solutions that a health care provider can provide. Contracted doctors have access to cost schedules on line on our secure provider web site.* Fees exhibited derive from contracted amounts negotiated for specified remedies. They mirror the amounts allowed for solutions like Aetna is spending each ASA/CPT/HCPCS signal on a line-by-line, fee-for-service basis.

Remember that doctor charge routine information will not show accurate rates for treatment services provided to Aetna members who take part in an accountable treatment organization (ACO) arrangement. An associate with an ACO arrangement may have a member ID card with an ACO logo and/or community title. Providers should make use of the supplier payment estimator tool to estimate costs for these patients.