Supported transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Supported |
| Professional claims (837P) | Supported |
| Institutional claims (837I) | Supported |
| Dental claims (837D) | Not supported |
| Electronic remittance (ERA 835) | Enrollment required |
| Electronic funds transfer (EFT) | Enrollment required |
| ERA + EFT combined | Not supported |
| Coordination of benefits (271) | Supported |
| Attachments (275) | Supported |
Other payer IDs and names
- Payer ID
10004 - Payer ID
10397 - Payer ID
4500 - Payer ID
60054MA - Payer ID
60055 - Payer ID
6400 - Payer ID
953402799 - Payer ID
AETNA - Payer ID
Z95668 - Also listed as Aetna Affordable Health Choices (SM) SRC
- Also listed as Aetna Insurance Company
- Also listed as Aetna Medicare Advantage
- Also listed as Aetna Medicare Replacement
- Also listed as Bell Atlantic
- Also listed as Choice Plus (TRW)
- Also listed as CustomCare (Prudential)
- Also listed as EmoryCare (Prudential)
- Also listed as FlexCare
- Also listed as Florida Power and Light (Prudential)
- Also listed as Healthcare Alliance (Sears)
- Also listed as IBM Medical Plans
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes weeks
Workflow guidance
- Submit 837I or 837P based on the care setting, and use 275 attachments when documentation must accompany a claim.
- Check eligibility and benefits electronically with 270/271 before scheduling or billing, and use the supported 271 transaction for coordination of benefits.
- Complete payer enrollment before relying on ERA 835 or EFT; until then, plan another process for remittance and payment information.
- Track claims with 276/277 rather than waiting for remittance information.
- If dental claims are in scope, confirm a separate process because 837D is not available electronically through this payer.
Common questions
Can I submit professional claims electronically to this payer?
Yes. This payer supports 837P professional claims and 837I institutional claims.
Does this payer support electronic eligibility verification?
Yes. Electronic eligibility and benefits are supported through 270/271, and coordination of benefits is supported through 271.
How do I receive ERA and EFT from this payer?
Both are supported, but the practice must complete payer enrollment first. ERA 835 and EFT should not be expected before enrollment is completed.
Does this payer support dental claims or combined ERA and EFT?
No. Dental claims using 837D and a combined ERA plus EFT option are not available electronically through this payer.
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