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
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.
Values vary by plan, region, and contract and can change. Confirm in the payer portal or with your clearinghouse before filing.
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