Coverage profile
How Substrate can help you with Texas Health Aetna
Substrate can help practices and billers with the following claims tasks for Texas Health Aetna.
Claim status
EDI 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Texas Health Aetna.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Texas Health Aetna.
Enhanced claim status
Availity ECSPortal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for Texas Health Aetna.
Frequently asked questions
Texas Health Aetna payer FAQs
How do I check claim status with Texas Health Aetna?
Providers check Texas Health Aetna via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.
Can I automate Texas Health Aetna 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 Texas Health Aetna?
The primary payer ID for Texas Health Aetna is 88221. 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 Texas Health Aetna?
The provider portal for Texas Health Aetna is https://apps.availity.com/. Available features depend on the payer and your account.
What are the 837 payer IDs for Texas Health Aetna?
The 837P and 837I payer ID for Texas Health Aetna is 88221 via Stedi.
What is the 835 payer ID for Texas Health Aetna?
The 835 payer ID for Texas Health Aetna is 88221 via Stedi.
What is the 270 payer ID for Texas Health Aetna?
The 270 payer ID for Texas Health Aetna is 88221 via Stedi.
What is the 276 payer ID for Texas Health Aetna?
The 276 payer ID for Texas Health Aetna is 88221 via Stedi.
What states does Texas Health Aetna operate in?
Texas Health Aetna operates in CA, KY, MO, NY, OH, SC, and TX.
Routing reference
Texas Health 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.
| Payer name | Texas Health Aetna |
|---|---|
| Operating states | CA, KY, MO, NY, OH, SC, TX |
| 837P professional claims payer IDStedi | 88221 |
| 837I institutional claims payer IDStedi | 88221 |
| 835 ERA payer IDStedi | 88221Enrollment required |
| 270 eligibility payer IDStedi | 88221 |
| 276 claim status payer IDStedi | 88221 |
Payer contact directory
Texas Health 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.
- Eligibility / benefits phone
- (866) 238-1399Other Source of Information
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
| phone(866) 238-1399 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| |
| phone(855) 300-5528 | Other stated contextBenefit context: Active Coverage |
| Health Benefit Plan Coverage |
Phone and fax numbers sourced directly from the payer response
Other aliases
Also known as
- 1262
- 88221
- TXHEALTH
