Quick access to patient information
The online patient roster offers an easy way to confirm that your patients are covered and get plan information. It's all available to you through our free, secure provider website.
The online patient roster:
- Is available at any time
- Is updated weekly
The roster lists Aetna members who have chosen a dentist in your office as their primary care dentist (PCD). It includes members who have Dental Maintenance Organization (DMO®) plans. It also lists Health Maintenance Organization (HMO) members with Aetna dental coverage.
Just register to get started
You can begin using the online patient roster by registering with ClaimConnect™, a service of EDI Health Group.
Frequently asked questions
Do you want to know more about this free service? You can find answers below for some common questions.
What information will be included in the online patient roster?
Your online patient roster will include:
- Member ID and group number
- Whether coverage is active and the date it began or ended
- Compensation office number and effective date
- Plan sponsor name and plan number or name
- Insurance type and plan summary
- Codes for claim office, plan, product, site and subgroup
Who do I contact if I have a question regarding receipt of my online patient roster?
If you have questions, call ClaimConnect customer service at 1-800-576-6412, extension 452. If the customer support area is unable to resolve an issue, it will be passed on to the EDI Assistance Center.
Why is the data on the weekly patient eligibility roster different from what is on the monthly Aetna DMO active patient roster?
The two reports are not the same. They come from different Aetna systems and are produced on different schedules. For this reason, they may not list exactly the same members.
The DMO active patient roster is produced monthly. It lists the Aetna members who have chosen you as their primary care dentist. It also includes your monthly payment information based on that list.
The dental patient eligibility roster is issued each week. It updates the list of your patients who have been added or removed since the previous week.
Will the online patient roster file include all HMO members?
No. The patient roster lists only those HMO members who have chosen a valid Aetna dental office.
What codes are used to define the member's relationship to the subscriber?
You may find these values on the file:
Subscriber — 18
- Dependent spouse — 02
- Dependent child — 19
What codes are used to show which family members are covered?
You may find these codes:
- Children only — CHD
- Employee and spouse — ESP
- Dependents only — DEP
- Employee and one dependent — EID
- Employee and children — ECH
- Employee only — EMP
- Family — FAM
- Individual — IND
- Spouse and children — SPC
- Spouse only — SPO
Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies (Aetna). Dental benefits and dental insurance plans are underwritten by Aetna Dental Inc., Aetna Dental of California Inc., and Aetna Health Inc. and/or Aetna Life Insurance Company (Aetna). In Texas by Aetna Dental Inc. and in Virginia, the DMO plan is known as the Dental Network Only plan (DNO). DNO in Virginia is not an HMO. To receive maximum benefits, members must choose a participating primary care dentist to coordinate their care with network providers. Each insurer has sole responsibility for its own products.
Vendors are independent contractors and not employees or agents of Aetna or participating providers of Aetna. Aetna does not endorse any electronic connectivity tools and services provided by vendors. This information is subject to change without notice and does not constitute a guarantee by Aetna of any kind.
News
You are now leaving the Aetna Dental Web site and linking to ClaimConnect*.
Aetna Dental works with ClaimConnectTM offered by EDI Health Group (EHG) to provide easy access to check patient eligibility, file a claim, check claim status, view patient rosters and Electronic Remittance Advice.
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