89% Success Rate on Aetna Appeals

Aetna Keeps Denying Your Claims. Fight Back.

Our AI challenges every Aetna denial automatically. 89% success rate. Stop losing money to their systematic denials.

No credit card required • 3 free appeals • 5-minute setup

Aetna Appeals Dashboard

Active
Appeal Won
vs. Aetna
+ $4,250
Denied claim overturned by Muni Appeals
Aetna Appeal Won
+$2,100
Aetna Overturned
+$3,650
89%
Success Rate vs. Aetna
89%
Aetna appeal success rate
5 min
Average appeal generation
$52K
Avg annual Aetna recovery
3,400+
Aetna appeals processed

Why Aetna Denies Your Claims

Based on 3,400+ Aetna denials processed through Muni. They have a playbook. We know how to beat it.

43%

Medical Necessity Not Documented

Aetna requires extensive clinical documentation proving treatment necessity. Our AI generates evidence-based arguments citing peer-reviewed studies, clinical guidelines, and patient-specific factors that match Aetna's Clinical Policy Bulletins.

28%

Prior Authorization Required

Aetna's prior auth requirements change frequently by state and plan. Muni stays updated with current policies and automates retroactive prior auth appeals with proper justification for urgent or emergency treatment.

21%

Frequency/Duration Limits Exceeded

Aetna limits treatment frequency for certain CPT codes (e.g., 90834 psychotherapy, 97110 PT). Muni crafts appeals demonstrating medical necessity for extended treatment with clinical evidence and patient progress documentation.

5%

Out-of-Network Provider

Even for out-of-network denials, we can appeal based on lack of in-network specialists, continuity of care requirements, or emergency treatment circumstances where network adequacy is insufficient.

3%

Coding Errors

Aetna frequently denies for 'incorrect' CPT/ICD-10 code combinations. Our AI verifies coding alignment with CMS guidelines and Aetna's specific code edits, providing proper coding justification with supporting documentation.

How Muni Fights Back Against Aetna

From Aetna denial letter to professional appeal in 5 minutes. Stop accepting their behavior.

1

Upload Aetna Denial Letter

Our AI reads Aetna's specific denial reason, policy references, CPT codes, and appeal deadline. Works with any Aetna plan: PPO, HMO, Medicare Advantage, or Medicaid.

2

AI Research & Analysis

Muni's multi-agent AI system researches:

  • Aetna's current Clinical Policy Bulletins (CPBs)
  • CMS coverage guidelines and LCD/NCD policies
  • Peer-reviewed medical literature (PubMed, UpToDate)
  • State-specific insurance regulations
  • Similar successful Aetna appeal precedents from our 3,400+ cases
3

Generate Professional Appeal Letter

Within 2 minutes, receive a comprehensive appeal letter customized to Aetna's specific requirements, including medical necessity justification, policy-specific arguments, and supporting evidence—ready to submit.

4

Track Outcome & Improve

Report the outcome to help our AI learn. Every Aetna appeal makes the system smarter, continuously improving success rates and identifying denial patterns specific to Aetna's review process.

Real Wins from Practices Like Yours

Stop letting Aetna take your money. Join hundreds of practices fighting back.

89%
Success Rate
Aetna appeal overturn rate across all denial types
40 min
Time Saved
Per appeal vs. manual Aetna appeal writing
$52K
Annual Recovery
Average recovered from Aetna denials per practice

Aetna was denying our 90834 psychotherapy claims 15 times a month. Muni got 13 of them overturned in the first month. The AI knows Aetna's policies better than their own reviewers.

Dr. Sarah Chen
Wellness Behavioral Health

Stop Losing Revenue to Aetna Denials

Start with 3 free Aetna appeals. No credit card required. 5-minute setup. Stop accepting their denials.

Trusted by 500+ independent practices • SOC 2 Type II Certified • HIPAA Compliant

Frequently Asked Questions

Everything you need to know about fighting Aetna denials

Yes. Muni supports Aetna PPO, HMO, POS, Medicare Advantage, and Medicaid managed care plans. Our AI is trained on policy differences across all Aetna products.

Aetna is required to respond within 30 days for standard appeals and 72 hours for expedited appeals. In our experience with 3,400+ Aetna appeals, most decisions come back in 14-21 days.

You can file a second-level appeal (external review) through your state's independent review organization. Muni can generate the external review appeal as well, which has a significantly higher success rate (92% for Aetna external reviews).

Yes. Muni can process multiple Aetna appeals simultaneously. Many practices upload 10-20 denials at a time and generate all appeals in under an hour. Stop letting them take your money.

Still have questions?

Can't find the answer you're looking for? Our support team is here to help.

Contact Support