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Aetna Voice Advantage

A 24-hour self-service telephone system to save you time

Call Aetna Voice Advantage today
Call the National Dentist Line at 1-800-451-7715 to access
Aetna Voice Advantage.

Be prepared with:
  • National Provider Identifier
  • Tax ID number (if Aetna Voice Advantage does not recognize you by your phone number)
  • Fax number
  • Patient ID and DOB
  • ADA Code and claim date of service, as applicable
 
Option 1: Claims
Claim Status
  • Select: Voice or fax
  • Enter: member ID or Social Security number (SSN)
  • Enter: patient date of birth (DOB)
Aetna Voice Advantage speaks -- patient First and last name
 
Claim summary
  • Enter: date of service
  • Receive: claim status and submitted amount
Claim details (if selected)
Receive:
  • Received date
  • Total submitted amount
  • Processed date
  • Allowed amount
  • Paid at provider (preferred/nonpreferred rate)
  • Total paid to provider/member
  • Amount not payable
  • Paid by fund (Aetna HealthFund® account)
  • Flexible spending account amount paid to provider/member
  • Copayment amount
  • Deductible amount
  • Coinsurance amount
  • Total interest/penalty amount
  • Clean claim date
  • Other carrier paid amount --coordination of benefits (fax only)
  • Claim ID (fax only)
  • Claim adjustment reason codes (fax only)
  • Service codes (fax only)
     
    Option 2: Coverage and benefits
    Coverage and benefits
    • Select: voice or fax
    • Enter: member ID or SSN
    • Enter: patient DOB
    Aetna Voice Advantage speaks -- patient first and last name
     
    Voiced summary of coverage
    Receive:
    • Coverage status
    • Plan type/network type
    • Effective dates
    • Group number
    • Plan sponsor name
    • Primary care dentist (PCD) address (if applicable)
    • PCD coverage code (if applicable)
    • Fund existence (if applicable)
    • Full - time student definition
    • Aetna Voice Advantage reference number
    • Dependent definition
    Voiced general breakdown of benefits
    Receive:
    • In-or out-of-network benefits (as applicable)
    Voiced benefits details
    Enter:
    • American Dental Association (ADA) code to receive in or out-of-nework benefits (if applicable)
    Receive: (may include but not limited to):
    • ADA code description
    • Patient covered: yes/no
    • Procedure level
    • Frequency
    • Last paid date/remaining visits for 21 preventive and basic ADA codes
    • Coinsurance percent
    • Office copay
    • Fixed copay
    • Scheduled plan amount
    • Deductible and deductible remaining
    • Annual maximum and maximum remaining
    • Lifetime maximum and maximum remaining
    • Fund amount and fund remaining
    • Waiting period
    • Late entrant
     
    Option 3: Contact information
    Select:
    1. Claim mailing address
    2. Payer ID
    3. Provider website
    4. Electronic transactions
    5. Fraud investigations

    Aetna Voice Advantage may not be available for all plans/programs.
    Dental benefits and dental insurance plans are offered, underwritten and/or administered by Aetna
    Life Insurance Company, Aetna Dental Inc., Aetna Dental of California Inc., Aetna Health Inc. and
    Aetna Health of California Inc. (Aetna).
    Information is believed to be accurate as of the production date; however, it is subject to change.

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