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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:
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.
For claims including Coordination of Benefits, the Commercial Insurance Coverage Provider Attestation may be used in lieu of the Explanation of Benefits (EOB).
Commercial Insurance Coverage Provider Attestation Form (PDF)
How do I file a claim?
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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. 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 electronically or by mail. If you resubmit electronically, 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).