Claims Information

Aetna Better Health of Florida values the quality care that health care providers give to our members, and it’s our goal to provide prompt reimbursement for those services.

A key factor in getting claims processed in a timely manner is correct claims submission. Submitting a claim correctly the first time increases the cash flow to your practice, prevents costly follow-up time by your office or billing staff, and reduces the uncertainty members feel with an unresolved claim.  To support that effort, Aetna Better Health of Florida has multiple options available for our providers to choose from, including our secure provider portal.

Access your portal to better health care delivery
WebConnect is our free provider claims submission portal via Change Healthcare (Emdeon). Change Healthcare is a contracted vendor used by Aetna Better Health of Florida for electronic claim submission, processing and support.

Electronic fund transfer offers electronic payments deposited directly into providers’ bank accounts.

The benefits of an EFT
Setting up  EFT payments will:

  • Improve payment consistency
  • Ensure fast, accurate and secure transactions
  • Send payments directly into your bank account

Electronic remittance advice is an electronic file that contains claim payment and remittance information sent to your office. This is sometimes referred to by its HIPAA transaction number, 835.

The benefits of an ERA
Reduces manual posting of claims payment information, which saves you time and money, allowing you to more efficiently manage your resources

  • Eliminates the need for paper explanation of benefits (EOBs)

You may use the Claims Adjustment Request Form for provider claims Inquiries and disputes concerning non-clinical denials and rate reimbursement disagreements; or the Provider Claim Reconsideration Form for the following reasons:

  • Itemized Bill
  • Duplicate Claim
  • Corrected Claim (note “corrected” on claim)
  • Coordination of Benefits (note “corrected” on claim)
  • Proof of Timely Filing
  • Claim/Coding Reconsideration

Other Claim Reconsideration