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Claims

You can file claims with Aetna Better Health® of Kentucky electronically or through the mail. We work to streamline the way we process claims. And improve payment turnaround time, so you can save time and effort. 

You can submit a claim:

Online

Online

You can submit claims or resubmissions online through WebConnect. This is our provider claims submission portal via Change Healthcare (formerly known as Emdeon). To register, just choose “WebConnect portal” below and follow the prompts to “Enroll New Customer.” Use 128KY for your payer ID.

By mail

By mail

You can also mail hard copy claims or submissions to:

 

Aetna Better Health of Kentucky

P.O. Box 982969

El Paso, TX 79998-2969

 

Use 128KY for your payer ID. Resubmitted claims should have “resubmission” marked clearly on the claim form to avoid being denied as a duplicate. 

 

CMS-1500 sample (PDF)

 

UB-04 sample (PDF)

How do I file a claim?

How do I file a claim?

First, you need to fill out a claim form. You must file claims within 365 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 730 days from the paid date to resubmit a revised version of a processed claim.

Electronic funds transfer (EFT)

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:

 

  • Improved payment consistency

  • Fast, accurate and secure transactions

  • Payments sent directly into your bank account 

Electronic remittance advice (ERA)

ERA refers to an electronic file that contains claim payment and remittance information sent to your office. The benefits of an ERA include:

 

  • Reduced manual posting of claim payment information, which saves you time and money, allowing you to more efficiently manage your resources

  • Elimination of the need for paper Explanation of Benefits (EOB) statements

How can I resubmit a claim?

A claim can be resubmitted through WebConnect or by mail. If you resubmit through the WebConnect portal, you’ll need to identify your resubmission with a “7” in the indicator field. If you choose to resubmit by mail, please include the following:

 

  • An updated copy of the claim — all lines must be rebilled

  • A copy of the original claim (reprint or copy is acceptable)

  • A copy of the remittance advice on which the claim was denied or incorrectly paid

  • A brief note describing the requested correction 

  • Any additional required documentation 

Questions?

You can download the provider manual (PDF). Or call Provider Relations at 1-855-300-5528 (TTY: 711).

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