ATTENTION: Aetna/ Magellan/ NIA Claims Processing: Hold Your Claims Until You Are Notified by Aetna OR Until Next Week

September 12, 2018

I’m writing to inform you and your members of a recently identified issue with our claims processing system that may impact claims.

What you need to know:

If you received an authorization from NIA and the claim denies for no authorization, Aetna will be reprocessing your claim.

  • Aetna will generate a report of all claims billed with a date of service between 09/01/2018 and 09/14/2018.
  • Any claim denied for no authorization will be reviewed to determine if an authorization is on file.
  • If an authorization is on file, Aetna will reprocess the denied claims.

Our claims and call staff are aware of this situation and will properly address questions from impacted providers.

Once we confirm all of the details, we will follow up with your association with more information, including the expected completion date. We appreciate your patience and understanding.

As always, if you have questions, please let me know.

Thanks!

Shiron Hagens
Senior Network Manager
hagenss@aetna.com