dc66e42ec4
Categories now match folder names (15 canonical values). Types normalized to 25 canonical values per VAULT_MAP.md spec. Context-aware mapping: W-2s→tax-form, lease files→lease, vet records→vet, etc.
2.2 KiB
type, category, person, provider, source
| type | category | person | provider | source |
|---|---|---|---|---|
| financial | insurance | Jiang, Erica (Xuewei) | Aetna | jiang_medical_insurance_card.png |
Medical Insurance Card - Erica Jiang (Xuewei)
Member and Network Information for Providers
| Field | Value |
|---|---|
| Group # | 16426 |
| Network | Aetna Network |
| Member | YANXIN LU |
| Member ID | 3928092626 |
| Dependent | XUEWEI JIANG |
| Network | Aetna Choice POS II |
| Plan | EPO |
| Claims Payor | Mertian Health |
| For Subscriber, see reverse |
Cost Share
| Service | Cost |
|---|---|
| Office Visit | $15 |
| Specialist | $15 |
| Urgent Care | $15 |
| ER | $110 |
| INV OOP $6,000/Family |
Pharmacy Plan
| Field | Value |
|---|---|
| Logo | CVS Caremark |
| RXPCN | ADV |
| RXBIN | 004336 |
| RXGRP | RX2543 |
Providers Only
| Field | Value |
|---|---|
| Provider Service | 888 632 3862 |
| Precertification | 866 415 6831 |
| Member | 844 246 4511 |
| Pre-Certified Svc | 877 344 3256 |
Member Support
| Field | Value |
|---|---|
| Call Insurance Company Concerns at | 844 287 3866 |
| www.aetna.com | |
| if member accessible | |
| Download Aetna Mobile to send a secure message with questions about eligibility, claims and plan benefits. | |
| Available by phone 24/7 |
Claims Submission / Appeals
Mail All Claims & Correspondence to: Mertian Health, PO Box 853921 Richardson, TX 75085-3921
EDI: AetnaMyMedAdv/EnvisionChange Healthcare 41124 or MedAdvantage/ Health 17181
Mail All Appeal Correspondence to: Mertian Health, PO Box 27881 Philadelphia PA 19134-2881
Precertification
For a referral to see a specialist, a primary care doctor may require precertification. Without precertification, you may have a higher copay. For a list of services that require precertification and to request precertification, call 866.415.6831 or comply with your plan's precertification requirements. To determine if a service requires precertification, Call Progyny at 844.734.8586 to Pre-certify and enhance any fertility benefits.
Elected into the NY Pool
Aetna participating Doctors and Hospitals are independent providers and are neither agents nor employees of Aetna.
Network: First Health Network