Also covers: Washington Apple Health, WA Medicaid, ProviderOne, Washington HCA
Payer ID
Varies — confirm via portal / clearinghouse
Apple Health FFS claims go through the state's ProviderOne system, not a standard commercial EDI payer ID. Managed-care plans each have their own IDs. (Washington)
Timely Filing Limit (TFL)
Varies — confirm via portal / clearinghouse
Appeal Window
Varies — confirm via portal / clearinghouse
Clearinghouse
ProviderOne (state Medicaid claims system)
Provider Services
800-562-3022
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
Varies — confirm via portal / clearinghouse
Provider Portal
https://www.waproviderone.com
Washington State's Medicaid program, administered by the Health Care Authority (HCA) via ProviderOne. Most enrollees are in managed-care plans.
Values vary by plan, region, and contract and can change. Confirm in the payer portal or with your clearinghouse before filing.
Aethera's AR team works Apple Health (Washington State Medicaid) every day — payer rules, appeals, and clean-claim submission, handled.
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