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CredNet

Aetna Better Health

Part of CVS Health / Aetna

Medicaid managed caredentalmedicalvision
Typical enrollment turnaround
60-90 days

Summary

Aetna Better Health is a Medicaid managed care organization, part of CVS Health / Aetna, offering dental, medical, and vision coverage operating in 14 states. Claims route under payer ID ABH01, with 2 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through Aetna Better Health Portal, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks, claim status inquiries, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID
ABH01Also seen as 12, 3061
Uses CAQH
YesApplication route: Payer portal application
Service area
14 states

Clearinghouse transaction setup

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

TransactionEnrollmentTypical setup
Eligibility checks (270/271)Not requiredImmediate
Claim status (276/277)Not requiredImmediate
ERA / remittance (835)RequiredSeveral weeks

Common questions

What is the payer ID for Aetna Better Health?
The payer ID for Aetna Better Health is ABH01. Alternate IDs seen across clearinghouses include 12, 3061.
How long does Aetna Better Health provider enrollment take?
Aetna Better Health provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.
Does Aetna Better Health require CAQH?
Yes. Aetna Better Health uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.
Does Aetna Better Health require ERA enrollment?
Yes. Aetna Better Health requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What states does Aetna Better Health cover?
Aetna Better Health operates in 14 states. Coverage can differ by plan and product line, so confirm the specific plan before you file.

Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.