Medicare AdvantageAdministrativeMedium impact
Provider Notification - Resubmission through Availity
Aetna Better Health of Virginia·VA·Provider Notification
We identified it
Aug 13, 2026
Summary
Aetna Better Health of Virginia has established a new procedural requirement for providers to submit claim resubmissions, attachments, and reconsiderations through the Availity Provider Portal using the 'Send Attachments' function under Claim Status—not through the Appeals section. This applies to itemized bills, duplicate claims, proof of timely filing, coordination of benefits, claim/coding edits, and corrected claims for Aetna Better Health plans and NJ-VA MAPD/DSNP plans.
Action Required
Immediately: Billing team must update internal procedures and provider communication to direct all claim resubmissions and attachments through Availity's Claim Status 'Send Attachments' function rather than the Appeals section. Update staff training materials, provider bulletins, and billing workflow documentation to reflect this new routing. Verify that all staff members submitting claims on behalf of providers are trained on the correct Availity navigation path (Claim Status & Payments → Claim Status → Select Payer → Send Attachments icon → Add File → Send). Ensure providers are informed that using the Appeals section for these resubmissions will result in processing delays or potential rejection of attachments.