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Claims
Providers can file claims with Aetna Better Health® of Maryland electronically or through the mail. Aetna Better Health of Maryland works to streamline processing. 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” below and follow the prompts to “Enroll New Customer.” Use 128MD for your payer ID.
By mail
By mail
You can also mail hard copy claims or resubmissions to:
Aetna Better Health of Maryland
Claims and Resubmissions
PO Box 982968
El Paso, TX 79998-2968
Use 128MD for your payer ID. Resubmitted claims should have “resubmission” marked clearly on the claim form to avoid being denied as a duplicate.
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 180 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 60 days from the paid date to resubmit a revised version of a processed claim.
Electronic funds transfer (EFT) and electronic remittance advice (ERA)
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
Provider payment disputes
You may file a payment dispute verbally or in writing. We can help resolve billing, payment and other administrative disputes for any reason, including, but not limited to:
Lost or incomplete claim forms or electronic submissions
Requests for more info about services or treatment by a health care provider
Inappropriate or unapproved referrals by the provider
Provider payment disputes don’t include disputes related to medical necessity.
Just call 1-866-827-2710 (TTY: 711) to file a verbal dispute.
To file a written dispute, submit a dispute form (PDF) with any supporting documentation to:
Aetna Better Health of Maryland
Claims and Resubmissions
PO Box 982968
El Paso, TX 79998-2968
If the dispute is about claim resubmission or reconsideration, we may refer it to the Claims Inquiry Claims Research department. Then, we’ll notify you about the dispute resolution by phone, email, fax or mail.
If you’re not satisfied with the outcome of your dispute you can learn more about filing grievances and appeals.