Approx. 1 in 20 provider names returned from a database search is even remotely accurate. I've waste hours, many times, trying to find a provider. Although at first it appears there are many docs in my network who are located near me, rarely is the information correct. I spend hours calling only to find noone. Although, with approval, they allow you to see an out of network provider at the In Network rate, nearly every time the claim is processed, it is charged as out of network. The fact that it's noted on the provider's claim and on my account gets completely ignored.
Addresses are wrong, phone numbers are wrong, and even whether or not someone is even a provider. There are 2 reasons for this, as Aetna has explained to me: 1) Aetna farmed out the job of populating the database, so the data entry people had/have no concerns as to the accuracy of the data. And 2) It's the job of the provider to notify Aetna that the information is inaccurate or has changed. Although the website offers an option that allows you to let them know that the info. Is wrong, and provide them with current info., which I've taken the time to do a number of times, I've returned to the search many months later, only to find all of the same inaccurate/outdated information that I had notified them of long before. Another issue occurred after faxing them a claim form. When more than a month had passed, and my claim still didn't appear in their system, I called to inquire. As it turns out, only one of the 2 pages I had sent was received. They got the page with all of my account info. And contact info., however, according to the notes in their system, noone made an attempt to contact me to let me know they still needed the 2nd page. I'm grateful to have insurance, but for the money we spend for it, I would expect much better.