You can submit claims online or resubmissions through WebConnect. This is our free provider claims submission portal via Change Healthcare (formerly known as Emdeon). To register, please click the link below and follow the prompts to “Enroll New Customer.”
You can also mail hard copy claims or resubmissions to:
Aetna Better Health of California
Claims and Resubmissions
PO Box 66125
Phoenix, AZ 85082-6125
Resubmitted claims should have “resubmission” marked clearly on the claim form to avoid being denied as a duplicate.
First, you need to fill out a claim form. If you are resubmitting a claim, you need to write “resubmission” on the paper claim form. You must file claims within 180 days from the date services were performed, unless there’s a contractual exception. For inpatient claims, the date of service refers to the member’s discharge date. You have 90 days from the paid date to resubmit a revised version of a processed claim.
EFT makes it possible for us to deposit electronic payments directly into your bank account. You can get an EFT form here or on our Provider Portal. Some of the benefits of setting up an EFT include:
ERA refers to an electronic file that contains claim payment and remittance information sent to your office. Sometimes, we’ll refer to ERA by its HIPAA transaction number: 835. You can find an ERA form here or on our Provider Portal. The benefits of an ERA include:
A claim may be resubmitted if it was denied or incorrectly paid due to missing documentation or another processing error. You must clearly write “resubmission” and mail it with the following:
If you are resubmitting through the WebConnect portal, you will need to identify your resubmission with a “7” in the indicator field. When submitting claims to our plan, use the provider ID number "128CA" for both CMS-1500 and UB-04 forms. You can easily request to have a dispute resolved. You just have to follow the instructions on our dispute resolution form and mail it to us. You can learn more about this process on our “Provider grievances and appeals” page.
Links to various Aetna Better Health and non-Aetna Better Health sites are provided for your convenience. Aetna Better Health of California is not responsible or liable for non-Aetna Better Health content, accuracy or privacy practices of linked sites or for products or services described on these sites.
This link will take you to the Aetna Better Health® of California provider website. It contains information for health care professionals. If you don't want to leave the member site, click or tap the "x" in the upper right-hand corner.
This link will take you to the main Aetna Better Health website. Aetna Better Health of California is not responsible or liable for this specific content.