Aetna

Summary

Aetna is a national insurance carrier, part of CVS Health, offering dental, medical, and vision coverage across all 50 states + DC. Claims route under payer ID 60054, with 9 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-120 days, with applications through Availity, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID

60054Also seen as 10004, 10397, 4500, 60054MA, 60055, 6400 and 3 more

Also known as

Aetna Affordable Health Choices (SM) SRC, Aetna Insurance Company, Aetna Medicare Advantage, Aetna Medicare Replacement, Bell Atlantic

Uses CAQH

YesApplication route: Payer portal application

Service area

All 50 states + DC

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

Common questions

What is the payer ID for Aetna?

The payer ID for Aetna is 60054. Alternate IDs seen across clearinghouses include 10004, 10397, 4500, 60054MA.

How long does Aetna provider enrollment take?

Aetna provider enrollment typically takes 60-120 days from application to effective date. Timelines vary by state, plan, and how complete the application is.

Does Aetna require CAQH?

Yes. Aetna uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.

What is the provider services phone number for Aetna?

Aetna Provider Contact Center: 800-624-0756.

Does Aetna require ERA enrollment?

Yes. Aetna requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.

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