Denial after Precertification Approval (Aetna)?

[NewBeginning2015 46]

@@beautiful12no, so glad that it worked out in the end! Great that your surgical team went ahead and submitted the appeal, even better that it was approved! Congrats.

[Jersrose43 837]

Thanks @@CountryGirl5584! That is reassuring to have it confirmed. I've yet to see a bill from Aetna (had my surgery on 31st Dec) so am waiting to wee wha it ends up being. :-D

You should get an explanation of benefit by valentines assuming hospital submitted timely.

You don't get a bill from aetna and please don't pay anyone anything until they send you an actual bill from the provider of service.

Don't pay based on the aetna EOB.

[NewBeginning2015 46]

@@Jersrose43, wow, thanks for the feedback! I had no idea that it would take that long. That is crazy...but I don't mind waiting until I have to pay my portion. :-D

[Jersrose43 837]

@@Jersrose43, wow, thanks for the feedback! I had no idea that it would take that long. That is crazy...but I don't mind waiting until I have to pay my portion. :-D

It can be faster but most hospitals take 5 days to submit. A little longer for inpatient.

The 5 days to process at insurance assuming that everything they need is there and that the contractual arrangement is simple. Most hospitals aren't

You can log on to aetna.com and watch your claims go through.