Innovation Health
Part of CVS Health
Summary
Innovation Health 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 40025. 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
40025- Also known as
- Aetna, Innovation Health Plan, Inc.
- 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.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Eligibility checks (270/271) | Not required | Immediate |
| Claim status (276/277) | Not required | Immediate |
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
| ERA / remittance (835) | Required | Several weeks |
Common questions
- What is the payer ID for Innovation Health?
- The payer ID for Innovation Health is 40025.
- How long does Innovation Health provider enrollment take?
- Innovation Health provider enrollment typically takes 60-120 days from application to effective date. Timelines vary by state, plan, and how complete the application is.
- Does Innovation Health require CAQH?
- Yes. Innovation Health 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 Innovation Health?
- Aetna Provider Contact Center: 800-624-0756.
- Does Innovation Health require ERA enrollment?
- Yes. Innovation Health requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
Related payers
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 Spot something out of date?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.