Is WebTPA the same as Aetna?
I do not understand the difference between WebTPA and Aetna. How does this work? ... WebTPA is the number on your insurance card that you will call for benefit questions. Aetna provides the medical network which means that Aetna enters into contracts with providers to agree upon amounts paid for medical services.
What network does WebTPA use?
This member participates in the Whole Foods Market Whole Health Plan, a self-funded medical plan that utilizes the Employers Health Network (EHN) and the Aetna Signature Administrators (ASA) network. To obtain eligibility and benefits during our regular business hours, call 844.380.
How do I submit a claim to WebTPA?
Claim Filing
- US Mail Claims Submissions. WebTPA. P.O. Box 310. Grapevine, TX 76099-0310. or FAX to: (469) 417-1960.
- Provider Must Include. Itemized Bill or HCFA Form. Copy of Primary Carrier EOB.
- EDI Claims Submission. Payer ID: 75261.
What type of insurance is WebTPA?
WebTPA is an independent organization that processes insurance claims and specializes in customized healthcare benefits administration. People with WebTPA insurance can access low-cost addiction treatment services by using their health insurance benefits to cover the cost of treatment.
Is WebTPA a third party administrator?
WebTPA grew out of hospital/health care consulting, expanded to the administration of our health care client's domestic networks and ultimately we have grown into one of the largest, most flexible third-party administrators in the country.
Does WebTPA require prior authorization?
In order to obtain a preauthorization, you or your provider must contact WebTPA's preauthorization Department at 833-682-6480. The request for preauthorization should be submitted 3-5 business days prior to the procedure unless it is an Urgent Care or Emergency Admission.
What is WebTPA timely filing limit?