What is the Stedi payer ID for Aetna Dmo?

The Stedi payer ID for Aetna Dmo is HJTBL.

What is the primary payer ID for Aetna Dmo?

The primary payer ID for Aetna Dmo is 68246.

What payer IDs does Aetna Dmo use?

In addition to its primary payer ID 68246, Aetna Dmo uses several other payer IDs, including 68246.

What transactions does Aetna Dmo support?

Aetna Dmo supports the following transactions: 270/271 eligibility checks and 835 Electronic Remittance Advices (ERAs).

What transaction types require transaction enrollment with Aetna Dmo?

Aetna Dmo requires transaction enrollment for 835 Electronic Remittance Advices (ERAs). Other supported transactions don't require enrollment. Stedi handles transaction enrollment steps for you.

What is transaction enrollment?

Transaction enrollment is a process required by some payers before you can send or receive certain transactions. Stedi handles this process for you.

What is a coordination of benefits (COB) check?

A COB checks determines if a member has coverage from more than one payer. Aetna Dmo supports COB checks through Stedi.

What is Aetna Dmo's parent group?

Aetna Dmo is part of Aetna (CVS Group).

All payers

PAYER

Aetna Dmo

This page contains information you can use to exchange healthcare transactions with Aetna Dmo using Stedi.

Use any of the following payer IDs to send transactions to Aetna Dmo using Stedi APIs or SFTP. Read the docs

Primary Payer ID

68246

Stedi Payer ID

HJTBL

Payer ID aliases

68246

Parent group

Aetna (CVS Group)

Coverage types

Dental, Medical

Supported transactions

Use Stedi to exchange the following transactions with Aetna Dmo using APIs or SFTP. Send transactions as JSON or raw EDI files.

Eligibility & benefit verification

Supported

Eligibility checks

(270/271)

Verify member coverage and benefits by sending real-time and batch eligibility checks to Aetna Dmo.

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to Aetna Dmo to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.

Claims processing

Not supported

Real-time claim status

(276/277)

Check on the status of a claim previously submitted to Aetna Dmo in real-time by sending a claim status check (276/277).

Not supported

Professional claims

(837P)

Submit professional claims to Aetna Dmo and receive 277 claim acknowledgments asynchronously.

Not supported

Institutional claims

(837I)

Submit institutional claims to Aetna Dmo and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Aetna Dmo to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to Aetna Dmo and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Aetna Dmo.

Get started

Use Stedi's APIs to get fast and reliable connectivity to Aetna Dmo and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and Aetna Dmo today.

Payer Network

All payers

PAYER

Aetna Dmo

This page contains information you can use to exchange healthcare transactions with Aetna Dmo using Stedi.

Use any of the following payer IDs to send transactions to Aetna Dmo using Stedi APIs or SFTP. Read the docs

Primary Payer ID

68246

Stedi Payer ID

HJTBL

Payer ID aliases

68246

Parent group

Aetna (CVS Group)

Coverage types

Dental, Medical

Supported transactions

Use Stedi to exchange the following transactions with Aetna Dmo using APIs or SFTP. Send transactions as JSON or raw EDI files.

Eligibility & benefit verification

Supported

Eligibility checks

(270/271)

Verify member coverage and benefits by sending real-time and batch eligibility checks to Aetna Dmo.

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to Aetna Dmo to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.

Claims processing

Not supported

Real-time claim status

(276/277)

Check on the status of a claim previously submitted to Aetna Dmo in real-time by sending a claim status check (276/277).

Not supported

Professional claims

(837P)

Submit professional claims to Aetna Dmo and receive 277 claim acknowledgments asynchronously.

Not supported

Institutional claims

(837I)

Submit institutional claims to Aetna Dmo and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Aetna Dmo to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to Aetna Dmo and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Aetna Dmo.

Get started

Use Stedi's APIs to get fast and reliable connectivity to Aetna Dmo and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and Aetna Dmo today.