Provider : Medical notes/report Pending/Provider Requested Information-The claim or encounter is waiting for information that has already been requested from the provider

Rejection Message

Provider : Medical notes/report Pending/Provider Requested Information-The claim or encounter is waiting for information that has already been requested from the provider.

Rejection Details

This is not a rejection message but rather a notification that these claims are pending in Aetna’s system until further documentation from the provider is received.

Aetna will notify the provider directly with further details regarding the needed documentation. The provider can also check claim status via the payer’s IVR to have a copy of the report with the requested information faxed to them.

Resolution

No steps to correct within Kareo.

The provider will have to send the requested documentation with the claim number to Aetna by either mailing it to the claims address or by faxing it to the payer. 

These pending claims will be flagged as either "Accepted" (pending information from the provider) or "Payer Rejected" depending on how Aetna processes the claim.