Coverage profile
Work Aetna DMO 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 DMO.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Aetna DMO.
Portal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for Aetna DMO.
Other aliases
Also known as
- 68246
- Aetna Dental DMO
- Aetna Dental Maintenance Organization
- AETNA (COMMERCIAL & MEDICARE)
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.
Can I automate Aetna DMO 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 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.
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.
| Payer name | Aetna DMOSource: Substrate payer directory · last refreshed |
|---|---|
| Operating states | TXSource: United Clearinghouse payer catalog · matched by payer name |
| 270 eligibility payer IDStedi | 68246Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | 60054Source: Availity payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDAvaility | 60054Source: 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.