Payer Directory

How to check Aetna Better Health Texas eligibility

A portal or phone check takes a front-desk staffer 10–15 minutes per patient. A real-time 270/271 check returns plan status, copays, deductibles, and out-of-pocket maximums in seconds.

  • Payer ID 38692
  • Real-time 270/271
  • Medicaid

Three ways to verify Aetna Better Health Texas coverage

  1. Payer portal — free, but one patient at a time and 10–15 minutes each with logins.
  2. Phone (IVR) — hold times vary; no written record for the chart.
The third way

Automated 270/271 check

Full benefit detail in seconds, batched for your whole schedule — not one patient at a time.

From $0.50 per check, pay-as-you-go.

Payer facts

Aetna Better Health Texas at a glance

What billers need before running a check.

  • Payer ID

    38692Also known as 00405, 10895T, 10896, 2142
  • Real-time eligibility

    AvailableResponses return in seconds, 24/7.
  • Coverage

    dental, medicalMedicaid
  • Operating area

    Texas
  • Payer website

Transactions

Supported transactions

What can be exchanged electronically with Aetna Better Health Texas today.

  • Eligibility (270/271)

    SUPPORTEDReal-time benefit and coverage checks
  • Claim status (276/277)

    SUPPORTEDWhere a submitted claim stands
  • Professional claims (837P)

    SUPPORTEDPhysician and outpatient claims
  • Institutional claims (837I)

    SUPPORTEDFacility claims
  • Dental claims (837D)

    NOT AVAILABLEDental claims
  • Remittance (835 ERA)

    ENROLLMENT REQUIREDElectronic remittance advice
  • Coordination of benefits

    NOT AVAILABLESecondary-payer routing
  • Claim attachments (275)

    SUPPORTEDSupporting documentation
Compare

Portal vs. phone vs. automated

The same verification, three ways.

MeasurePayer portalPhone / IVRAutomated check
Time per patient10–15 min15–30 minSeconds
Cost per checkStaff time, one login per patient~$8.57 in staff time*from $0.50
Record for the chartScreenshotNoneFull audit trail
Whole-day scheduleOne at a timeOne at a timeBatched overnight

*A manual eligibility check costs a medical practice $8.57; an electronic one costs $2.00. Source: 2024 CAQH Index.

In production

What Medman does in practices today

  • 65%

    fewer denials at Valley Diabetes & Obesity

  • 90%

    of eligibility checks fully automated

  • $107–149K

    annual savings, small specialty practice

  • 24 mo

    in production

Questions

Frequently asked questions

What is the payer ID for Aetna Better Health Texas?

Aetna Better Health Texas uses payer ID 38692. It also appears as 00405, 10895T, 10896, 2142 in some systems.

Does Aetna Better Health Texas support real-time eligibility verification?

Yes. Aetna Better Health Texas accepts real-time 270/271 eligibility transactions, so a check returns plan status and benefit detail in seconds instead of the 10–15 minutes a portal login takes.

How long does a Aetna Better Health Texas eligibility check take?

A portal check takes 10–15 minutes of staff time per patient. An automated real-time check returns in seconds and can run for an entire day's schedule overnight.

Run your first Aetna Better Health Texas eligibility check

From $0.50 per check, pay-as-you-go. No annual contract, no implementation project.

Billing more than Aetna Better Health Texas? — upload it and see which of your payers run automatically.