Aetna has reached an agreement with state medical societies to pay resubmitted claims for Evaluation and Management (E&M )visits billed with a Modifier -57 (indicating that the decision for surgery was made during the visit), for dates of service from January 1, 2005 through February 11, 2006. After seeking input from medical societies and the independent Physician Advisory Board, Aetna decided to change its policy and began paying these claims effective February 12, 2006. 

When may claims be resubmitted?
The resubmission period will begin on January 1, 2007 and will extend through April 30, 2007. Please do not resubmit these claims prior to January 1, 2007. They will be rejected as duplicate claims.  

Online information will be available in December 2006
Additional information, including detailed instructions and forms that are required to ensure timely and accurate processing of the resubmitted claims, will be posted on Aetna’s Web site (www.aetna.com) next month, along with additional and information and forms.