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Aetna DMO

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

Primary payer ID
68246Compare transaction IDs ↓
Last successful claim statusNo successful response observedObserved across Substrate's claim-status network.
Not enough dataEDI 276/277EDI 270/271Browser automation

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

Coverage profile

How Substrate can help you with Aetna DMO

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

Claim status

EDI 276/277

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

Available

Eligibility

EDI 270/271

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

Available

Portal claim status

Browser automation

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

Available

Frequently asked questions

Aetna DMO payer FAQs

How do I check claim status with Aetna DMO?

Providers check Aetna DMO 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 DMO?

The primary payer ID for Aetna DMO is 68246. 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 DMO?

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

What is the 270 payer ID for Aetna DMO?

The 270 payer IDs for Aetna DMO are 68246 via Stedi and 60054 via Availity.

What is the 276 payer ID for Aetna DMO?

The 276 payer ID for Aetna DMO is 60054 via Availity.

What state does Aetna DMO operate in?

Aetna DMO operates in TX.

Resource library

Routing reference

Aetna DMO 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 DMO payer name, operating states, and transaction-specific payer IDs
Payer nameAetna DMOSource: Substrate payer directory · last refreshed
Operating statesTXSource: United Clearinghouse payer catalog · matched by payer name
270 eligibility payer IDStedi68246Source: Stedi payer catalog · catalog dated · matched by payer ID
270 eligibility payer IDAvaility60054Source: Availity payer catalog · catalog dated · matched by payer ID
276 claim status payer IDAvaility60054Source: 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 DMO. 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 INSURANCE COMPANY. 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 DMO. 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.

Other aliases

Also known as

  • 68246
  • Aetna Dental DMO
  • Aetna Dental Maintenance Organization
  • AETNA (COMMERCIAL & MEDICARE)