We work with your payers
Aethera connects with 900+ payers nationwide — from Medicare and Medicaid to every major commercial insurer. If they pay claims, we know how to work with them.
900+
Payers Connected
99.8%
Electronic Claim Rate
94%
Eligibility Denials Prevented
48h
Avg. Clearinghouse Turnaround
PAYER NETWORK
Payers We Work With
Our payer network spans government programs, national commercial carriers, regional plans, and specialty payers.
CLEARINGHOUSE PARTNERS
Optimal Routing for Every Claim
We partner with the industry's leading clearinghouses, automatically selecting the best route for each payer.
Change Healthcare
Largest clearinghouse in the US with broadest payer connectivity
Availity
Real-time eligibility and claims for major commercial payers
Waystar
Advanced analytics and automated claim workflows
NaviNet
Payer-to-provider portal integration for real-time transactions
Office Ally
Cost-effective routing for smaller regional payers
TriZetto / Cognizant
Enterprise-grade clearinghouse for high-volume practices
Real-Time Eligibility Verification
We verify patient insurance eligibility in real time before every appointment — eliminating eligibility-related denials at the source. Our system checks coverage, co-pays, deductibles, and benefit limits automatically.
94% of eligibility denials prevented through real-time verification
Automated benefit checks run 24–48 hours before appointments
Co-pay and deductible data surfaced at check-in
Coverage gap alerts sent to front desk staff immediately
Secondary insurance verification included at no extra cost
Payer Contract Expertise
We don't just submit to your payers — we know them. Our team maintains active knowledge of each payer's specific rules, fee schedules, timely filing deadlines, and prior auth requirements.
Payer-specific modifier requirements
Timely filing limits per payer (30–365 days)
Prior auth requirements by procedure and payer
Local Coverage Determination (LCD) compliance
Annual fee schedule updates applied proactively
Don't See Your Payer?
We likely work with them. With 900+ payers in our network, if you don't see a specific plan listed, contact us for a payer-specific confirmation.
Ask About Your PayerMaximize Reimbursement Across All Your Payers
Our payer expertise means fewer denials, faster payments, and more money in your practice.
Get Your Free Assessment