Portal

Aetna Medicaid secure web portal

Getting access to our secure web portal gives providers convenient 24/7 access and many benefits including:

  • Practitioner Application Screening form- online access
  • Single sign-on – One log-in and password allows you to move smoothly through various systems.
  • Mobile interface Enjoy the added convenience of access through your mobile device.
  • Personalized content and servicesAfter logging in, you'll find a landing page just for you.
  • Real-time data access – View updates as soon as they're posted.
  • Better tracking – Know immediately the status of each claim submission and PA request.
  • Auto-Auths – Depending on the auth type and service location, it's possible to get an auto-approval on your request.
  • Detailed summariesFind easy access to details about denied PA requests or claims.
  • Enhanced information to analyze, track and improve services and processes.

New! Providers can now enter a claim resubmission form within the secure web portal and attach required documentation to support the claim resubmission. Note: this new functionality is for claim resubmissions that include required documentation, not claim corrections or provider appeals.

Refer to this step-by-step guide to add attachments.

For provider appeals, (e.g. the resolution of a claim denial or services that were provided without the proper authorization) please follow the Provider Appeal process outlined in the Aetna Better Health of Pennsylvania Provider Manual.

Plazos de disponibilidad

A partir del 19/1/2021

  • Espacios de pago
  • Enlace de presentación de reclamaciones (Change HealthCare)
  • Contacto con la mensajería
  • Consulta sobre el estado de las reclamaciones
  • Apelaciones y reclamaciones
  • Presentación de reclamaciones
  • Presentación del recurso
  • Situación de las reclamaciones y los recursos

A partir del 1/22/2021

  • Lista de paneles-Búsqueda de paneles
  • Informes
  • PDM/ProReports (Provider Deliverables Manager)
  • Ambiente (informes de inteligencia empresarial)

 Futuros lanzamientos de funcionalidades

 Q1/2021

  • Autorización previa - Presentación y búsqueda de estado

 Q2/2021

  •  Requisitos y prestaciones

 Q3/2021

  • Remitir PDF
  • Lista de paneles mejorada
  • Herramienta G&A mejorada

 

  • If you are already registered in Availity, you will simply select Aetna Better Health from your list of payers to begin accessing the portal and all of the above features.  (Mention Logging into Availity)
  • If you are not registered, we recommend that you do so immediately.
  • Pulse aquí para saber más sobre Registro en el portal de disponibilidad
  • Haga clic aquí para registrarse
  • For registration assistance, please call Availity Client Services at 1-800-282-4548 between the hours of 8:00 am and 8:00 pm Eastern, Monday-Friday (excluding holidays)

You can connect to your patients and their care teams with Member Care Information. This secure, online portal gives you the ability to complete the ONAF online. You can also access:

  • Un listado en tiempo real de sus pacientes
  • Información sobre su consulta
  • Email capability with Care Managers

Already registered? Log in to Member Care Information Portal.

Need to register? Register today by completing this short registration form.

For more information, call your Provider Relations representative at 1-866-638-1232.