Aetna Medicaid Illinois
Aetna Medicaid Illinois is a Medicaid managed-care plan operating in Illinois. For an ASC, what matters isn't the logo. It's how Aetna Medicaid Illinois pays: where it runs rich, where it runs thin, and how its reimbursement compares with peer plans for the same procedures.
Pilot Analysis
Get the complete Aetna Medicaid Illinois analysis
Tell us where to send it. Our team will prepare an analysis of Aetna Medicaid Illinois covering rates by code, market position, and underpaid areas, and email it to you within 5-10 business days. Need it faster? Book a demo.
What Insights reveals
How Aetna Medicaid Illinois pays
See how Aetna Medicaid Illinois reimburses across procedures and markets, benchmarked against the peer plans competing for the same cases. Not a raw rate sheet, a read on where it sits.
Geographic footprint
Aetna Medicaid Illinois's presence spans Illinois. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Aetna Medicaid Illinois and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Aetna Medicaid Illinois's volume, so you know where a rate change moves the needle.
Whether you're an ASC benchmarking a contract or a provider team looking Aetna Medicaid Illinois up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with Aetna Medicaid Illinois
- Payer ID
- 26337 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Aetna Medicaid Illinois through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Aetna Medicaid Illinois members are verified before the date of service, through a clearinghouse using payer ID 26337or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Aetna Medicaid Illinois directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Aetna Medicaid Illinois the way it pays.
- What is Aetna Medicaid Illinois's payer ID?
- Aetna Medicaid Illinois's electronic payer ID is 26337. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Aetna Medicaid Illinois through a clearinghouse.
- How do ASCs verify eligibility for Aetna Medicaid Illinois members?
- Eligibility and benefits for Aetna Medicaid Illinois members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 26337) or through the payer's provider portal.
- Does Aetna Medicaid Illinois require prior authorization for ASC procedures?
- Prior-authorization requirements for Aetna Medicaid Illinois are set per plan and per procedure. Confirm whether an authorization is required with Aetna Medicaid Illinois directly before the date of service.
- What type of payer is Aetna Medicaid Illinois?
- Aetna Medicaid Illinois is a Medicaid managed-care plan operating in Illinois.
- How does Aetna Medicaid Illinois compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Aetna Medicaid Illinois pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is Aetna Medicaid Illinois paying my ASC below market?
- Put your own Aetna Medicaid Illinois contract next to the peer benchmark in DataLily AI and you'll see the gap by procedure and market, the fastest way to know whether you're leaving money on the table.