Aetna Better Health of Florida
Also covers / subsidiaries: ABHFL, Aetna Medicaid FL
Core Payer & Clearinghouse Profile
Electronic Payer ID
128FL
Use 128FL for claims, NOT 'ABHFL' (the real-time eligibility ID). Claim.MD cross-refs 7265, 8678.
Timely Filing Limit (TFL)
Participating 180 days from DOS; non-participating 365 days; corrected 180 days; secondary 90 days from primary; Medicare crossover 36 months
Appeal Window
Medical-necessity 60 days from NABD; billing disputes par 90 / non-par 180 days from EOP
Clearinghouse Gateway
Availity (Office Ally also named)
Provider Services
800-441-5501
Claims Fax
844-235-1340
Claims Address
Aetna Better Health of Florida, PO Box 982960, El Paso, TX 79998-2960
Provider Portal
https://www.aetnabetterhealth.com/florida/providers/portal.html
Claims go to El Paso, TX but appeals go to PO Box 81040, Cleveland, OH 44181. El Paso box effective 2/2022.
National EDI Clearinghouse Capabilities
Direct ANSI X12 electronic transaction support verified for Aetna Better Health of Florida.
Resolution Tools for Aetna Better Health of Florida Claims
Values vary by plan, line of business, and provider agreement. Confirm in the payer portal or with your clearinghouse gateway before submitting electronic claims.
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