Core Payer & Clearinghouse Profile
Electronic Payer ID
Varies — confirm via portal / clearinghouse
Primarily a general agency/brokerage with a self-funded division; claims route to the contracted TPA's payer ID, not a single BenefitMall ID. Use the member ID card.
Timely Filing Limit (TFL)
Varies — confirm via portal / clearinghouse
Appeal Window
Varies — confirm via portal / clearinghouse
Clearinghouse Gateway
National Clearinghouse / EDI Gateway
Provider Services
Varies — confirm via portal / clearinghouse
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
Varies — confirm via portal / clearinghouse
Provider Portal
Varies — confirm via portal / clearinghouse
Brokerage/general agency; the administering TPA on the member ID card determines payer ID, address, and timely filing.
Resolution Tools for BenefitMall 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 BenefitMall Denials & Delayed Payments?
Aethera's billing specialists work BenefitMall every day — handling EDI clearinghouse rejects, prior authorizations, payment posting, and 30-day AR aging recovery.