Payer ID
60054
60054 is the default for most Aetna Better Health Medicaid plans, but several states use state-specific IDs (e.g. 128MD Maryland, 128OK Oklahoma, 128FL Florida). Always read the member card.
Timely Filing Limit (TFL)
180 days from date of service (varies by state)
Appeal Window
Varies — confirm via portal / clearinghouse
Clearinghouse
Availity, Change Healthcare, Office Ally
Provider Services
Varies — confirm via portal / clearinghouse
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
Varies — confirm via portal / clearinghouse
Provider Portal
https://www.availity.com
Aetna's multi-state Medicaid managed-care brand; many state-specific entities, some with Medicare D-SNP. Payer ID, timely filing, claims address, and phone differ by state — look up the specific state plan.
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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