Aetna
Also covers / subsidiaries: CVS Health, Aetna Better Health, Meritain Health, Aetna Signature Administrators
Core Payer & Clearinghouse Profile
Electronic Payer ID
10004
Standard Aetna commercial payer ID; Meritain and Better Health (Medicaid) plans differ.
Timely Filing Limit (TFL)
120 days from the date of service (commercial; varies by plan/contract)
Appeal Window
180 days from the claim determination (varies by plan)
Clearinghouse Gateway
Availity (primary), plus most major clearinghouses
Provider Services
888-632-3862
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
Varies — confirm via portal / clearinghouse
Provider Portal
https://www.availity.com
Aetna routes most provider transactions through Availity. Owned by CVS Health.
National EDI Clearinghouse Capabilities
Direct ANSI X12 electronic transaction support verified for Aetna.
Associated Clearinghouse Payer IDs
National clearinghouse networks maintain dedicated routing IDs for specific transaction lines or subsidiaries under Aetna.
| Clearinghouse Name | Electronic Payer ID | Status | Enrollment | Supported Services |
|---|---|---|---|---|
| Aetna | 10004 | Par | None | 837P837I270/271276/277Dental |
| Aetna | 60054 | Par | Required | 837P837I835 ERADental |
| Aetna Dental Plans | 60054 | Par | None | 837P837I835 ERADental |
| Meritain Health | 10635 | Par | None | 837P837I270/271276/277Dental |
| Meritain Health | 38232 | Non-Par | None | 837P837I835 ERA |
| Meritain Health | 41124 | Non-Par | None | 837P837I835 ERA |
Resolution Tools for Aetna 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. Last verified 2026-06-24.
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