Claims

We encourage providers to submit claims electronically through Emdeon. When submitting claims to our plan, use the Provider ID number 128LA for both CMS 1500 and UB 04 forms.

If you have any questions on electronic billing, just call Provider Services at 1-855-242-0802.

You can also mail hard copy claims or resubmissions to:
Aetna Better Health of Louisiana
P.O. Box 61808
Phoenix, AZ 85082-1808

Resubmitted claims should be clearly marked “Resubmission” on the envelope.

Claims for retro members (members who are made retroactively eligible with Aetna Better Health of Louisiana) can be submitted through your normal claims submission process.

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

Please allow 10-15 business days for processing once we receive your enrollment form. We'll send a confirmation letter to your office when processing is complete.

Need help?
Fill out the EFT enrollment form and submit it via our secure fax toll-free at 1-844-217-1249 or via email. Allow 10-15 business days for processing once the enrollment form is received. We'll send a confirmation letter to your office when we’ve processed your request.

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)

 Fill out the ERA enrollment form and submit it via our secure fax toll-free at 1-860-607-7658 or via email. Allow 10-15 business days for processing once the enrollment form is received. We'll send a confirmation letter to your office when we’ve processed your request.

Need help?
If you have questions, you can call Provider Services at 1-855-242-0802 or email anytime.

The Electronic Transaction Vendors on this list are sub-contracted with Emdeon for both claims and real-time transactions. Providers will need to add Payer ID 128LA to their practice management system.

Aetna is currently working to establish a connection with McKesson/Relay Health for electronic transactions. We will update this messaging once this becomes available.

 

Internal Classification of Diseases, 10th revision (ICD-10)

ICD-9 to ICD-10 Translator

This tool comes from AAPC, a nationally recognized coding organization, and is based on the General Equivalency Mapping (GEM) files published by CMS.  It is not intended to be used as an ICD-10 conversion, ICD-10 mapping, or ICD-9 to ICD-10 crosswalk tool. Keep in mind that while many codes in ICD-9-CM map directly to codes in ICD-10, in some cases, a clinical analysis may be required to determine which code or codes should be selected for your mapping. Always review mapping results before applying them.

Please Note: The online translator tool only converts to ICD-10-CM codes. It does not convert to ICD-10-PCS.

ICD-10 Code Translator

ICD-9 to ICD-10
ICD-10 to ICD-9
GO

 

Emergency Room Sudden and Serious List

Aetna Better Health of Louisiana encourages providers to electronically submit claims through Change Healthcare (formerly Emdeon). WebConnect is our provider claims submission portal. Our claims ID is 128LA.

 

It is anticipated that on Thursday, May 26, 2016, Molina will void claims for non-emergency ambulance transportation (NEAT) that were paid in error.  The voided claims will appear on your Remittance Advice (RA) with a BYU Plan specific edit code of 870 for Aetna. To resubmit your claims, please follow the instructions listed in the document below.

Instructions for Processing Voided NEAT Claims