Aetna

Aetna Provider EDI API

Electronic Data Interchange connectivity for healthcare providers enabling electronic submission of claims, eligibility verification, claim status inquiries, and remittance advice. Accessible through the Availity provider portal supporting EDI 837 (claims), 270/271 (eligibility), 276/277 (claim status), and 835 (remittance) HIPAA transactions.

GitHub

Documentation

📖
Documentation
https://www.aetna.com/health-care-professionals/claims-payment/claims-submission.html

Other Resources

🔗
Portal
https://www.availity.com

API entry from apis.yml

apis.yml Raw ↑ 
aid: aetna-provider-edi-api
name: Aetna Provider EDI API
description: Electronic Data Interchange connectivity for healthcare providers enabling electronic submission
  of claims, eligibility verification, claim status inquiries, and remittance advice. Accessible through
  the Availity provider portal supporting EDI 837 (claims), 270/271 (eligibility), 276/277 (claim status),
  and 835 (remittance) HIPAA transactions.
tags:
- EDI
- Claims
- Eligibility
- Provider Portal
- HIPAA
properties:
- type: Documentation
  url: https://www.aetna.com/health-care-professionals/claims-payment/claims-submission.html
- type: Portal
  url: https://www.availity.com