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OfficeLink Updates - March 2025 newsletter

Aetna·Newsletter
Effective date
Jun 1, 2025
We identified it
Jun 19, 2026
Days to comply
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Summary

Aetna's March 2025 newsletter announces new claim edits starting June 1, 2025 for their Claim and Code Review Program (CCRP), along with commercial drug list changes effective July 1, 2025. These changes affect commercial, Medicare and Student Health members and can be viewed on Availity.

Action Required

Action needed
By June 1, 2025: Billing team must review new CCRP claim edits on Availity portal and update billing workflows accordingly. By July 1, 2025: Review commercial drug list changes and update prior authorization processes for affected medications. Monitor Availity regularly for specific edit details as they become available.

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