Coverage profile
Work Aetna Better Health across every published route
Use the current payer record to choose the right claim-status, eligibility, portal, phone, or appeals workflow. Substrate only marks routes that are published for this payer.
Claim status
EDI 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Aetna Better Health.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Aetna Better Health.
Enhanced claim status
Availity ECSPortal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for Aetna Better Health.
Appeals agent
AI appeals workflowThe Substrate Appeals Agent can submit appeals for RFIs, medical record requests, downcoding reconsiderations, and more via the payer portal for Aetna Better Health.
Other aliases
Also known as
- 12
- 3061
- ABH01
- Aetna Better Health all plans and NJ-VA MAPD-DSNP
- ABHEALTH
Frequently asked questions
Aetna Better Health payer FAQs
How do I check claim status with Aetna Better Health?
Providers check Aetna Better Health via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.
Can I automate Aetna Better Health portal follow-up?
Yes — portal retrieval is required when 276/277 is missing or stale. See payer portal automation and learn why 276/277 is not enough.
What is the payer ID for Aetna Better Health?
The primary payer ID for Aetna Better Health is ABH01. 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 Better Health?
The provider portal for Aetna Better Health is https://apps.availity.com/. Available features depend on the payer and your account.
What is the 835 payer ID for Aetna Better Health?
The 835 payer ID for Aetna Better Health is ABH01 via Stedi.
What is the 270 payer ID for Aetna Better Health?
The 270 payer IDs for Aetna Better Health are ABH01 via Stedi and ABH01 via Availity.
What is the 276 payer ID for Aetna Better Health?
The 276 payer IDs for Aetna Better Health are ABH01 via Stedi and ABH01 via Availity.
What states does Aetna Better Health operate in?
Aetna Better Health operates in AZ, CA, FL, IL, KS, KY, LA, MD, ME, MI, MN, MO, NJ, NY, OK, PA, SC, TN, TX, and VA.
Routing reference
Aetna Better Health 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.
| Payer name | Aetna Better HealthSource: Substrate payer directory · last refreshed |
|---|---|
| Operating states | AZ, CA, FL, IL, KS, KY, LA, MD, ME, MI, MN, MO, NJ, NY, OK, PA, SC, TN, TX, VASource: United Clearinghouse payer catalog · matched by payer name |
| 835 ERA payer IDStedi | ABH01Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | ABH01Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | ABH01Source: Availity payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDStedi | ABH01Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDAvaility | ABH01Source: Availity payer catalog · catalog dated · matched by payer ID |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Last refreshed .Open payer website ↗
- Stedi payer catalogMatched by payer ID; matched record: Aetna Better Health. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
- Availity payer catalogMatched by payer ID; matched record: AETNA BETTER HEALTH. Source dated .The attached API workbook supplies 270 and 276 payer IDs only. It does not supply 837P, 837I, or 835 IDs.Open current Availity reference ↗
- United Clearinghouse payer catalogMatched by payer name; matched record: Aetna Better Health. The source did not provide a publication date.The attachment supplies payer names and states only; it does not contain transaction-specific payer IDs.Open current United Clearinghouse reference ↗
Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.
Payer contact directory
Aetna Better Health 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
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
| phone(646) 473-7160 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| |
| phone(800) 521-3605 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| |
| phone(833) 577-2586 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| |
| phone(800) 279-1878 | Other stated contextBenefit context: Active Coverage; Benefit context: Inactive |
| Health Benefit Plan Coverage |
| phone(800) 306-8612 | Other stated contextBenefit context: Active Coverage |
| Health Benefit Plan Coverage |
| phone(800) 441-5501 | Other stated contextBenefit context: Active Coverage; Benefit context: Inactive |
| Health Benefit Plan Coverage |
| phone(844) 362-0934 | Other stated contextBenefit context: Active Coverage |
| Health Benefit Plan Coverage |
| phone(844) 365-4385 | Other stated contextBenefit context: Active Coverage; Benefit context: Inactive |
| Health Benefit Plan Coverage |
| phone(844) 528-5815 | Other stated contextBenefit context: Active Coverage |
| Health Benefit Plan Coverage |
| phone(844) 645-7371 | Other stated contextBenefit context: Active Coverage; Benefit context: Inactive |
| Health Benefit Plan Coverage |
| phone(855) 221-5656 | Other stated contextBenefit context: Inactive |
| Health Benefit Plan Coverage |
| phone(855) 232-3596 | Other stated contextBenefit context: Active Coverage |
| Health Benefit Plan Coverage |
| phone(855) 242-0802 | Other stated contextBenefit context: Active Coverage; Benefit context: Inactive |
| Health Benefit Plan Coverage |
| phone(855) 300-5528 | Other stated contextBenefit context: Active Coverage; Benefit context: Inactive |
| Health Benefit Plan Coverage |
| phone(855) 463-0933 | Other stated contextBenefit context: Active Coverage |
| Health Benefit Plan Coverage |
| phone(855) 676-5772 | Other stated contextBenefit context: Active Coverage |
| Health Benefit Plan Coverage |
| phone(855) 772-9076 | Other stated contextBenefit context: Inactive |
| Health Benefit Plan Coverage |
| phone(866) 316-3784 | Other stated contextBenefit context: Active Coverage; Benefit context: Inactive |
| Health Benefit Plan Coverage |
| phone(866) 329-4701 | Other stated contextBenefit context: Active Coverage |
| Health Benefit Plan Coverage |
| phone(866) 600-2139 | Other stated contextBenefit context: Active Coverage |
| Health Benefit Plan Coverage |
| phone(866) 638-1232 | Other stated contextBenefit context: Active Coverage |
| Health Benefit Plan Coverage |
| phone(866) 827-2710 | Other stated contextBenefit context: Active Coverage; Benefit context: Inactive |
| Health Benefit Plan Coverage |
| phone(888) 348-2922 | Other stated contextBenefit context: Active Coverage |
| Health Benefit Plan Coverage |
Phone and fax numbers sourced directly from the payer response