Aetna Worker's Comp Access

[Guest guest]

Does anyone have any experience with signing on to Aetna's Work Comp network. I

was contacted many months ago to sign on. When I spoke to them about their

reimbursement methodology, they told me it was based on the Florida Worker's

compensation schedule. (This is where I practice.) I felt I could live with

that so I told them to send me the contract. Upon review of the contract, the

verbiage of the compensation schedule stated a " case-based rate methodology " .

My understanding of that type of schedule is similar to a diagnostic-based

schedule whereby one gets reimbursed on a one time fee for however many

treatments it takes to get the patient well. I cannot operate my business with

that schedule. I cannot get a straight answer from two of the people at Aetna as

to what they mean by this " case-based schedule " . It is not what I was told the

reimbursement would be when I first spoke with them.

Has anyone else dealt with this network?

Seidner, PT, DC