Question 1

What is the Stedi payer ID for Aetna?

Accepted Answer

The Stedi payer ID for Aetna is HPQRS.

Question 2

What is the primary payer ID for Aetna?

Accepted Answer

The primary payer ID for Aetna is 60054.

Question 3

What payer IDs does Aetna use?

Accepted Answer

In addition to its primary payer ID 60054, Aetna uses several other payer IDs, including 10004, 4500, 60054, 60054MA, 6400, 953402799, AETNA, and Z95668.

Question 4

What transactions does Aetna support?

Accepted Answer

Aetna supports the following transactions: 270/271 eligibility checks, 270/271 coordination of benefit (COB) checks, 837P professional claims, 837I institutional claims, 835 Electronic Remittance Advices (ERAs), 275 claim attachments, and 276/277 real-time claim status.

Question 5

What transaction types require transaction enrollment with Aetna?

Accepted Answer

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

Question 6

What is transaction enrollment?

Accepted Answer

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

Question 7

What is a coordination of benefits (COB) check?

Accepted Answer

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

Question 8

What is Aetna's parent group?

Accepted Answer

Aetna is part of Aetna (CVS Group).

Question 9

What other names does Aetna go by?

Accepted Answer

Aetna is also known as Aetna Affordable Health Choices (SM) SRC, Aetna Insurance Company, Aetna Medicare Advantage, Aetna Medicare Replacement, Bell Atlantic, Choice Plus (TRW), CustomCare (Prudential), EmoryCare (Prudential), FlexCare, Florida Power and Light (Prudential), Healthcare Alliance (Sears), IBM Medical Plans, Innovation Aetna, Los Alamos Total Care (Prudential), Mail Handlers Benefit Plan - MHBP, Marriott, MedConnection (Marriott), Minneapolis Prudential, Pacific Gas and Electric (PG&E), Prudential, Rush Prudential, Sandia Triple Optional Plus, Southwestern Bell (Medical), SunTrust Bank, UC Care (University of California), US HealthCare (Health Maintenance Organization), and Varian HealthCare Plan.

Aetna

Supported transactions

Eligibility checks

Coordination of benefits checks

Real-time claim status

Professional claims

Institutional claims

Claim payments

Dental claims

Unsolicited claim attachments