Claims

We encourage providers to submit claims electronically through Change Healthcare (formerly Emdeon). When submitting claims to our plan, use the Provider ID number 128MD for both CMS 1500 and UB 04 forms. If you have any questions on electronic billing, just call Provider Services at 1-866-827-2710.

You can mail hard copy claims or resubmissions to:
Aetna Better Health of Maryland
Claims and Resubmissions
P.O. Box 61538
Phoenix, AZ 85082-1538

Resubmitted claims should be clearly marked “Resubmission” on the envelope.

Electronic fund transfer offers electronic payments deposited directly into providers’ bank accounts.

The benefits of an EFT

Setting up EFT payments will :

  • Improve payment consistency
  • Ensure fast, accurate and secure transactions
  • Send payments directly into your bank account 

Please allow 10-15 business days for processing once we receive your enrollment form. We'll send a confirmation letter to your office when processing is complete.

Need help? Fill out the EFT enrollment form and submit it via our secure fax toll-free at 1-866-883-1558 or via email to MDFinanceEFTEnrollment@aetna.com. Allow 10-15 business days for processing once the enrollment form is received. We'll send a confirmation letter to your office when we’ve processed your request.

Electronic remittance advice is an electronic file that contains claim payment and remittance information sent to your office. This is sometimes referred to by its HIPAA transaction number, 835.

The benefits of an ERA

  • Reduces manual posting of claims payment information, which saves you time and money, allowing you to more efficiently manage your resources
  • Eliminates the need for paper explanation of benefits (EOBs) 

Fill out the ERA enrollment form and submit it via our secure fax toll-free at 1-844-348-0621 or via email to MarylandProviderRelationsDepartment@aetna.com. Allow 10-15 business days for processing once the enrollment form is received. We'll send a confirmation letter to your office when we’ve processed your request.

Need help? If you have questions, you can call Provider Services at 1-866-827-2710 anytime.

To view the auto-pay list of emergent diagnosis please click here