Aetna·AZ, CT, DE, FL, IL, IN, KS, KY, ME, MD, MA, MI, MN, MO, NV, NC, OH, PA, TX, UT, VA, WV, WI·Newsletter
Effective date
Mar 1, 2025
We identified it
Jun 19, 2026
Days to comply
—
Summary
Aetna is discontinuing certain live training webinars and transitioning to Availity's on-demand training options. New claim edits will be implemented starting March 1, 2025, as part of the Claim and Code Review Program (CCRP) for commercial, Medicare and Student Health members.
Action Required
Action needed
Before March 1, 2025: Billing team should review new CCRP claim edits on Availity portal to understand upcoming claim processing changes. Access on-demand training modules in Availity's Help & Training section for updated billing procedures. Update provider directory information through Provider Data Management tool to avoid removal from network.