For Providers
WebTPA is the medical claims administrator for the Prudential-sponsored medical program.
The provider network is Aetna Signature Administrators, and all claims are to be sent to WebTPA.
For additional information about member benefits or to check claim status, call 800-981-7405.
Claims Submissions
To submit a claim or verify benefits eligibility, use the following information:
Client: Prudential
Group Number: 2022PRU
Provider Network: Aetna Signature Administrators
The claims payer ID for for WebTPA is #75261.
Physical claims can be sent to:
WebTPA, PO Box 99906,
Grapevine, TX 76099-9706
Eligibility & Benefits
For eligibility inquiries, you can also visit the Availity portal here to confirm coverage.
New to Availity?
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- Check eligibility, submit claims, collect patient payments, and track ERAs
- Update your provider profiles
- Manage quality-of-care paperwork
Pre-certifications & Referrals
For authorization reviews, providers can fax clinical documents to WebTPA at 469-417-1981.
Clinical documentation needs to reflect that this is a Prudential member, including:
- First and last name
- Member insurance
Need the pre-cert form to fax in? Click here.
WebTPA EFT and 835 Electronic Remittance Advice (ERA) Setup
VPay® is WebTPA’s payment vendor. If you want to want to receive payments by Electronic Fund Transfer (EFT), call the VPay® Customer Service Center at 855-893-3029 and request to be set up to receive an 835 Electronic Remittance Advice (ERA). VPay will initiate your provider enrollment into Smart Data Solutions, which is the platform that the 835 ERAs are provided.
You will then receive a link to Smart Data Solutions’ portal. You can then set their delivery process for the 835 ERAs which can be done via Clearinghouse, SFTP, or you can download directly from the Smart Data Solution’s portal. You should be able to access the 835 ERA within 24 hours of receiving your EFT payment.