Aetna Better Health
Also covers / subsidiaries: Aetna Medicaid, ABH
Core Payer & Clearinghouse Profile
Electronic 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 Gateway
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.
National EDI Clearinghouse Capabilities
Direct ANSI X12 electronic transaction support verified for Aetna Better Health.
Associated Clearinghouse Payer IDs
National clearinghouse networks maintain dedicated routing IDs for specific transaction lines or subsidiaries under Aetna Better Health.
| Clearinghouse Name | Electronic Payer ID | Status | Enrollment | Supported Services |
|---|---|---|---|---|
| Aetna | 60054 | Par | Required | 837P837I835 ERADental |
| Aetna Dental Plans | 60054 | Par | None | 837P837I835 ERADental |
Resolution Tools for Aetna Better Health 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.
Tired of Chasing Aetna Better Health Denials & Delayed Payments?
Aethera's billing specialists work Aetna Better Health every day — handling EDI clearinghouse rejects, prior authorizations, payment posting, and 30-day AR aging recovery.