eraforms@aetna.com : ERA, EFT & Electronic EOBs – Aetna
eraforms@aetna.com : ERA, EFT & Electronic EOBs – Aetna
ERA provides claim payment explanations in HIPAA-compliant files. You don’t need to enroll in ERA to get electronic EOBs. Enroll for ERA electronically through Payer Enrollment Services.
EFT lets us send claim payments directly to your bank account. Enroll electronically through Payer Enrollment Services.
Virtual credit card (VCC)
Process credit card payments without sharing your bank account information. Interchange fees will apply. If you don’t wish to receive payments by VCC, enroll in EFT.
eraforms@aetna.com :
Getting started
• Enroll in electronic remittance advice (ERA) and electronic funds transfer (EFT) by downloading a form from www.aetnapaperlessoffice.com. You can also change an ERA arrangement or your bank account using the form.
• You can also enroll in EFT through the Council for Affordable Quality Healthcare’s website. Click here for more information.
• Register for or log in to Aetna’s secure provider website for access to the online Claim EOB tool, to view, print and download Explanations of Benefits (EOBs) electronically.
Note: The date on the online EOB will not match the deposit date of the EFT.
The online EOB date is the date that the EOB was issued, not the deposit date.
• For help with reconciling ERA/EFT
– Register for a live webinar here
– Register for or log in to the Aetna Education website for recorded courses
Understanding the ERA file format
• We transmit ERA files in the ASC X12 835 format.
• If you have questions on interpreting your ERA files, contact your ERA vendor/clearinghouse.
• Each ERA includes the check draft or EFT trace number for reconciliation.
The trace number links the ERA to the payment, and it’s located in the TRN02 data element of the TRN segment.
How Aetna payments and ERAs are grouped
• We’ll issue separate ERAs and EFTs for each billing provider’s National Provider Identifier (NPI). Providers billing with multiple NPIs will receive separate ERAs and EFTs for each NPI.
• Providers billing with multiple NPIs may want to set an “override” NPI value to be used for their ERAs, which will reduce the number of payments generated. To set an override NPI, send us an e-mail using the Contact Us link on www.aetna.com.
• Health maintenance organization (HMO) and traditional claims are never grouped together.
• HMO claims payments will generate a separate ERA and EFT for each pay-to HMO provider number. Please contact your network representative to ask about reducing the quantity of HMO provider ID numbers.
