For providers

Information about Aetna Better Health of Missouri

Thank you for your dedication and commitment in caring for the healthcare needs of our Aetna Better Health Missouri children and families for the past 22 years. Aetna Better Health of Missouri's contract with the State of Missouri ended on April 30, 2017. All Aetna Better Health of Missouri members have been transitioned to a new Managed Care Organization (MCO) as of May 1, 2017. Questions regarding the new Missouri Medicaid Managed Care Contracts should be directed to MO HealthNet at 1-573-526-4274.

Aetna Better Health will continue to process claims with dates of service prior to May 1, 2017 in accordance with Aetna Better Health of Missouri's contract with MO HealthNet and provider contractual agreements through April 30, 2018.

Important Phone Numbers & Websites

Claims Inquiries      

1-800-566-6444

Prior Authorization

1-800-566-6444

Member Services

1-800-566-6444

Website

www.aetnabetterhealth.com/missouri

Provider Portal

aetnabetterhealth-missouri.aetna.com

Additional Information & Resources

Please contact our Claims Inquiry Claims Research (CICR) team at 1-800-566-6444, and select the option for Claim Inquiry/Claim Research to speak with a representative. Our CICR team will assist providers with the following through April 30, 2018:

  • Claim Processing inquiries
  • Claims Payment issues
  • Remittance advice questions
  • Reconsideration requests
  • Check Tracer requests

Providers should submit all claims via EDI using Aetna Better Health Payor ID or the mailing address for all claims with dates of service thru April 30, 2017, in accordance with provider contractual agreements for timely claim submission. 

Claims Payor ID

Claims Address

128MO

 

P.O. Box 65855

Phoenix, AZ 85082-5855

Provider demographic changes which are not related to claims payment will not be accepted or processed after April 1, 2017. Aetna Better Health will continue to accept provider demographic changes through April 30, 2018 related to:

  • National Provider Identifier (NPI)
  • Federal Tax ID (FTIN)
  • Change in Legal Owner of FTIN
  • Pay To Address

These provider demographic changes should be submitted to: 10 South Broadway Suite 1200, St. Louis MO 63102

Aetna Better Health will continue to process provider complaints and appeals in accordance with current processes and timeframes. Valid appeals will be limited to claims with dates of service prior to May 1, 2017. Providers should follow the current process for submitting appeals.   

Appeals Address: 10 S. Broadway, Suite 1200, St. Louis, MO 63102

The Provider Portal will be available through April 30, 2018 by using the log in here. The view only functionality available after April 15, 2017 will be limited to:

  • Claim Search
  • Search Remittance Advice
  • Authorization Inquiry
  • Search Members
  • Search Providers

Member eligibility inquiries regarding Aetna Better Health members effective with our health plan through April 30, 2017 should continue to be directed to our Member Services team at 1-800-566-6444.