Payer-to-payer health info
Sharing your health info: What you need to know
How to share your health info
You can share your health info between two health plans. To do this, we need your approval to send or receive your health info.
There are two ways to share your health info:
- If you want Allina Health | Aetna to get your health info from another health plan, log in to your member website to start.
- If you want another health plan to get your health info from Allina Health | Aetna, contact your other health plan.
Important points
Allina Health | Aetna will send the health info we have from the last five years.
Allina Health | Aetna will also send info we’ve received from other health plans.
You can share your health info with your health care team.
Who can use this service?
You can use this service if you’re a current or former member (within the last five years) of:
A health plan managed by the federal government, such as Medicare or Medicaid
A health plan mandated by state law (certain health plans through an employer)
Benefits of sharing your health info with us
Sharing your health info with your health care team can make your treatment plan more personal and complete. This helps you:
Make sure you get screenings, exams or vaccines on time
Manage chronic illnesses better
Avoid repeat tests
Prevent harmful drug interactions
Have current test results handy
Types of health info Allina Health | Aetna shares
Allina Health | Aetna plans will send certain claim and clinical info with a date of service on or after January 1, 2016. We may also share health info related to sensitive conditions.
Claim and clinical info includes:
Non-financial Explanation of Benefits
Vital signs
Height
Weight
Smoking status
Medications
Lab results
Conditions
Procedures
Immunizations
Condition info includes:
Chronic diseases
Contagious diseases
Substance use disorders
HIV/AIDS
Sexually transmitted diseases
Genetic marker info
Mental health info
Need help? Here’s how to share your health info.
To send your health info to Allina Health | Aetna
To share your health info from another health plan with us, follow these steps:
Step 1: Get your member ID card from your other health plan. If you don’t have it, contact your other health plan.
Step 2: Have your log-in info (username and password) for your Allina Health | Aetna member website. If you don’t have one, create an account.
To send your health info to another health plans
To send your health info from Allina Health | Aetna to another health plan, here are the steps:
Step 1: Contact your other health plan.
Find out how their payer-to-payer info exchange process works. You may need to visit their website or call them. Have your Allina Health | Aetna ID card and member info ready.
Step 2: Allina Health | Aetna will send some info.
We’ll send all required claim and clinical info we have as part of your record for eligible health plans. This includes health info we’ve received from other health plans through the payer-to-payer info exchange, if it applies. We will not send your provider/facility info.
To check your health info sharing request
To check the health plans that are sending or receiving your health info through Allina Health | Aetna, go to the “Manage who can view your data” section on the Allina Health | Aetna member website.
Frequently asked questions
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You decide whether Allina Health | Aetna will receive your health info from another plan. You also control whether we send your health info to another plan. If you don’t want Allina Health | Aetna to send or receive your health info, don’t start a payer-to-payer health info exchange.
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Certain health plans must offer features that let current and former members (up to five years after leaving Allina Health | Aetna), to provide consent to:
- Receive their health info from other health plans
- Send their health info to other health plans
These plans include:
- Certain health plans managed by the federal government, such as Medicare and Medicaid
- Health plans mandated by state law
Not sure if you’re eligible? Call us at the number on your member ID card to speak with our Member Services team. -
If you tell Allina Health | Aetna to send your health info to another health plan, Allina Health | Aetna will send required claim and clinical info from the last five years. In some cases, Allina Health | Aetna may also send info from before this date. Allina Health | Aetna will also share any health info it has received about you from another health plan through the payer-to-payer health info exchange.
The health info Allina Health | Aetna sends may not include your full medical history. This health info isn’t a substitute for your complete medical history.
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We only use or share your health info through the payer-to-payer health info exchange at your request. Allina Health | Aetna treats personal health info as confidential. We protect your privacy based on federal and state laws, as well as our own privacy policies.
For more details on how we use and share your info to manage your benefits and your rights, review our Notice of Privacy Practices.
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Once you tell us to share your health info with another health plan, Allina Health | Aetna does not oversee how that health plan may use or share your info. To understand how another health plan may handle your health info, contact that health plan.
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There’s no charge for the info exchange or for Allina Health | Aetna to keep the info we receive from another health plan.
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Call the number on your Allina Health | Aetna member ID card for help.
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Call the number on your Allina Health | Aetna ID card to reach our Member Services team.
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You only need to log in with your current member log-in.
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You may direct Allina Health | Aetna to receive your health info from any health plan that covered you in the last five years. If you need info from multiple health plans, you’ll need to make a request for each plan.
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Members ages 14 and older in an eligible plan can direct Allina Health | Aetna to share their health info using their member website.
For members ages 13 and under, a guardian or authorized representative can create an account for them.
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The info needed to verify your identity and consent is different among health plans. Be sure to have your ID card from the other health plan, as Allina Health | Aetna may request info to match you to your records.
Legal notices
Allina Health | Aetna is the brand name used for products and services provided by one or more of the Allina Health | Aetna group of companies, including Allina Health | Aetna Life Insurance Company and its affiliates (Allina Health | Aetna).
Health benefits and health insurance plans contain exclusions and limitations.