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Aetna

The provider portal for Aetna is https://apps.availity.com/

Primary payer ID
60054Compare transaction IDs ↓
Last successful claim statusWithin the past 48 hoursObserved across Substrate's claim-status network.
SupportedEDI 276/277EDI 270/271Browser automation

Is your practice experiencing high volumes of no response claims or denials from Aetna? Try Substrate Denial Intelligence here -->.

Coverage profile

How Substrate can help you with Aetna

Substrate can help practices and billers with the following claims tasks for Aetna.

Claim status

EDI 276/277

The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Aetna.

Available

Eligibility

EDI 270/271

The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Aetna.

Available

Portal claim status

Browser automation

The Substrate Claim Status Agent can check claim status via the payer portal for Aetna.

Available

Appeals agent

AI appeals workflow

The Substrate Appeals Agent can submit appeals for RFIs, medical record requests, downcoding reconsiderations, and more via the payer portal for Aetna.

Available

Frequently asked questions

Aetna payer FAQs

How do I check claim status with Aetna?

Providers check Aetna via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.

What is the payer ID for Aetna?

The primary payer ID for Aetna is 60054. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.

What is the provider portal for Aetna?

The provider portal for Aetna is https://apps.availity.com/. Available features depend on the payer and your account.

What are the 837 payer IDs for Aetna?

The 837P and 837I payer ID for Aetna is 60054 via Stedi.

What is the 835 payer ID for Aetna?

The 835 payer ID for Aetna is 60054 via Stedi.

What is the 270 payer ID for Aetna?

The 270 payer IDs for Aetna are 60054 via Stedi and 60054 via Availity.

What is the 276 payer ID for Aetna?

The 276 payer IDs for Aetna are 60054 via Stedi and 60054 via Availity.

Resource library

Routing reference

Aetna payer IDs and operating states

Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.

Aetna payer name, operating states, and transaction-specific payer IDs
Payer nameAetna
837P professional claims payer IDStedi60054
837I institutional claims payer IDStedi60054
835 ERA payer IDStedi60054Enrollment required
270 eligibility payer IDStedi60054
270 eligibility payer IDAvaility60054
276 claim status payer IDStedi60054
276 claim status payer IDAvaility60054

Payer contact directory

Aetna phone and fax numbers

Use the number associated with your task. These contacts were stated in successful eligibility responses and may apply to specific benefits, products, or departments.

Other stated context phone
(800) 279-1878Aetna Better Health of Virginia
Aetna payer phone and fax directory
Channel and numberPayer NotesDepartmentSpecialties
phone(203) 399-5130Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • Other Source of Information
phone(214) 276-6376Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • Other Source of Information
phone(305) 760-8739Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • Other Source of Information
phone(646) 473-7160Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • Other Source of Information
phone(786) 618-1080Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • Other Source of Information
phone(800) 225-7620Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • Other Source of Information
phone(800) 374-1835Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • Other Source of Information
phone(800) 414-0596Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • Other Source of Information
phone(800) 521-3605Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • Other Source of Information
phone(800) 735-7053Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • Other Source of Information
phone(833) 577-2586Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • Other Source of Information
phone(866) 238-1399Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • Other Source of Information
phone(866) 553-8206Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • Other Source of Information
phone(800) 279-1878Other stated contextBenefit context: Active Coverage; Benefit context: Inactive
  • Aetna Better Health of Virginia
Health Benefit Plan Coverage
phone(800) 441-5501Other stated contextBenefit context: Active Coverage
  • Aetna Better Health of Florida
Health Benefit Plan Coverage
phone(800) 624-3879Other stated contextBenefit context: Inactive
  • Mercy Care Arizona
Health Benefit Plan Coverage
phone(844) 362-0934Other stated contextBenefit context: Active Coverage
  • Aetna Better Health of New Jersey
Health Benefit Plan Coverage
phone(844) 365-4385Other stated contextBenefit context: Active Coverage; Benefit context: Inactive
  • Aetna Better Health of Oklahoma
Health Benefit Plan Coverage
phone(844) 528-5815Other stated contextBenefit context: Active Coverage
  • Aetna Better Health of Florida
Health Benefit Plan Coverage
phone(855) 221-5656Other stated contextBenefit context: Inactive
  • Aetna Better Health of Kansas
Health Benefit Plan Coverage
phone(855) 232-3596Other stated contextBenefit context: Active Coverage
  • Aetna Better Health of New Jersey
Health Benefit Plan Coverage
phone(855) 242-0802Other stated contextBenefit context: Active Coverage
  • Aetna Better Health of Louisiana
Health Benefit Plan Coverage
phone(855) 300-5528Other stated contextBenefit context: Active Coverage
  • Aetna Better Health of Kentucky
Health Benefit Plan Coverage
phone(855) 364-0974Other stated contextBenefit context: Active Coverage; Benefit context: Inactive
  • Aetna Better Health of Ohio
Health Benefit Plan Coverage
phone(855) 463-0933Other stated contextBenefit context: Active Coverage
  • Aetna Better Health of Virginia
Health Benefit Plan Coverage
phone(855) 676-5772Other stated contextBenefit context: Active Coverage; Benefit context: Inactive
  • Aetna Better Health of Michigan
Health Benefit Plan Coverage
phone(866) 316-3784Other stated contextBenefit context: Active Coverage; Benefit context: Inactive
  • Aetna Better Health of Michigan
Health Benefit Plan Coverage
phone(866) 329-4701Other stated contextBenefit context: Active Coverage; Benefit context: Inactive
  • Aetna Better Health of Illinois
Health Benefit Plan Coverage
phone(866) 600-2139Other stated contextBenefit context: Active Coverage
  • Aetna Better Health of Illinois
Health Benefit Plan Coverage
phone(866) 638-1232Other stated contextBenefit context: Active Coverage
  • Aetna Better Health of Pennsylvania
Health Benefit Plan Coverage
phone(866) 827-2710Other stated contextBenefit context: Active Coverage
  • Aetna Better Health of Maryland
Health Benefit Plan Coverage
phone(888) 348-2922Other stated contextBenefit context: Inactive
  • Aetna Better Health of West Virginia
Health Benefit Plan Coverage

Phone and fax numbers sourced directly from the payer response

Other aliases

Also known as

  • 10004
  • 10397
  • 4500
  • 60054
  • 60054MA
  • 60055
  • 6400
  • 953402799
  • Z95668
  • Aetna Affordable Health Choices (SM) SRC
  • Aetna Insurance Company
  • Aetna Medicare Advantage
  • Aetna Medicare Replacement
  • Bell Atlantic
  • Choice Plus (TRW)
  • CustomCare (Prudential)
  • EmoryCare (Prudential)
  • FlexCare
  • Florida Power and Light (Prudential)
  • Healthcare Alliance (Sears)
  • IBM Medical Plans
  • Innovation Aetna
  • Los Alamos Total Care (Prudential)
  • Mail Handlers Benefit Plan - MHBP
  • Marriott
  • MedConnection (Marriott)
  • Minneapolis Prudential
  • NEA Group Insurance (Prudential)
  • Pacific Gas and Electric (PG&E)
  • Prudential