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Banner|Aetna

CommercialNon-ParticipatingEDI Enrollment Required

Also covers / subsidiaries: Banner Aetna

Core Payer & Clearinghouse Profile

Electronic Payer ID

67895

Use the JV-specific 67895, not the generic Aetna 60054; verify against the member ID card.

Timely Filing Limit (TFL)

90 days from date of service (Aetna commercial default; contract may override)

Appeal Window

180 days from initial claim decision to file dispute/reconsideration

Clearinghouse Gateway

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.availity.com

Commercial joint venture between Banner Health and Aetna (CVS Health) serving Arizona (Phoenix/Maricopa).

National EDI Clearinghouse Capabilities

Direct ANSI X12 electronic transaction support verified for Banner|Aetna.

837P Professional Claims
837I Hospital Claims
837D Dental Claims
835 ERA Electronic Remittance
270/271 Real-Time Eligibility
276/277 Claim Status Inquiry
Secondary Claim Submission
Worker's Compensation EDI
Electronic Attachments (PWK)

Associated Clearinghouse Payer IDs

National clearinghouse networks maintain dedicated routing IDs for specific transaction lines or subsidiaries under Banner|Aetna.

Clearinghouse NameElectronic Payer IDStatusEnrollmentSupported Services
Banner Health And Aetna67895Non-ParNone
Banner Health And Aetna Health Insurance Company67895Non-ParRequired
837P837I835 ERA

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 Banner|Aetna Denials & Delayed Payments?

Aethera's billing specialists work Banner|Aetna every day — handling EDI clearinghouse rejects, prior authorizations, payment posting, and 30-day AR aging recovery.

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