Aetna
Also issues coverage under Aetna Inc., Aetna Life Insurance Company.
Scale
Figures this payer discloses about itself, each on the basis it states and as of the date it states. The bases differ between payers and are reproduced rather than reconciled.
Transparency in Coverage publishing
What this payer publishes under the Transparency in Coverage rule, how the published index is arranged, and what becomes of earlier months. Each statement is read from a public document and cites it.
- Posting cadence
- States in its machine-readable file FAQ that the In-Network and Allowed Amount machine-readable files update monthly. No day of the month, business-day rule or calendar is published.34
- Index shape
- States on its machine-readable file portal that the files are organized by plan type, keyed by the Employer Identification Number (EIN) for self-insured plans and by the Health Insurance Oversight System (HIOS) ID for fully insured plans.5
- Back catalogue
- Answers the question of how long machine-readable file data is stored without naming any time period, telling self-funded plan sponsors to retain the data under their own policy and saying that for fully insured plan sponsors it retains the files under its own data retention policy.3
Sources
- [1] CVS Health Corporation Quarterly Report on Form 10-Q for the quarterly period ended June 30, 2026 · U.S. Securities and Exchange Commission (EDGAR) / CVS Health Corporation · checked 2026-08-06
Fetched 2026-08-06 from EDGAR (accession 0000064803-26-000098) — the most recent CVS Health periodic filing, filed one day before retrieval. Membership taken from the Item 2 MD&A Health Care Benefits segment medical membership table and the accompanying 'Medical Membership' commentary bullets.
- [2] CVS Health Corporation Annual Report on Form 10-K for the fiscal year ended December 31, 2025 · U.S. Securities and Exchange Commission (EDGAR) / CVS Health Corporation · checked 2026-08-06
Fetched 2026-08-06 from EDGAR (accession 0000064803-26-000010). sec.gov rejects the default fetcher with HTTP 403; retrieved with a declared User-Agent. Figures taken from Item 1 (Health Care Benefits Products and Services) and Item 7 MD&A (Health Care Benefits Segment performance table, 'In millions').
- [3] Transparency in Coverage · Aetna (a CVS Health company) · checked 2026-08-07
Fetched 2026-08-07. Everything cited to this page sits in its "Machine-readable files FAQs" block: the monthly-update sentence and the whole of the answer to "How long is the MRF data stored?". The cadence sentence is scoped by the sentences around it — the two before it concern self-funded plan sponsors, the paragraph after handles fully insured plans separately — so it is not a per-plan guarantee. The retention answer is written in Aetna's own first person, "our data retention policy", and the seeded claim paraphrases it as Aetna's own for that reason. The page links neither machine-readable file portal, saying only that the data is posted on Aetna.com.
- [4] Transparency in Coverage (insurance producer) · Aetna (a CVS Health company) · checked 2026-08-07
Fetched 2026-08-07. Aetna's insurance-producer version of the same page, cited only as corroboration that the monthly-update wording is not an artefact of one page: it repeats that sentence, and repeats the retention answer word for word.
- [5] Colorado Machine Readable Files (MRFs) · Aetna (a CVS Health company) · checked 2026-08-07
Read 2026-08-07 in a browser, which this portal needs in order to show anything. The sentence cited to it is the third paragraph of the introduction, immediately after the paragraph carrying the FAQ document link; although the page is Colorado-specific, that sentence is written in general terms covering self-insured and fully insured plans alike, so it describes how Aetna keys the files rather than a Colorado rule. It is the only state-specific portal of its kind that could be found.
Reviewed 2026-08-07
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