Aetna Medicare Advantage
Medicare AdvantageAlso covers: Aetna, Aetna Medicare, Aetna MA, CVS Health
Payer ID
60054
60054 is Aetna's primary/universal claims payer ID. Confirm with your clearinghouse and the member's MA plan.
Timely Filing Limit (TFL)
Per provider contract; commonly up to 365 days from DOS. Verify against your contract
Appeal Window
Medicare Advantage appeals follow CMS Part C rules (commonly 60 days from the denial/organization determination)
Clearinghouse
Availity
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.aetna.com/health-care-professionals.html
Aetna (a CVS Health company) is a major Medicare Advantage carrier.
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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