MedicaidAdministrativeMedium impact
Provider Notification - Claims Payments
Aetna Better Health of Virginia·VA·Reimbursement
We identified it
Aug 13, 2026
Summary
Aetna Better Health of Virginia has engaged a vendor to identify and pursue third-party liability payers for Medicaid members, then conduct reclamation billing. Providers may be asked to submit documentation, and when recovery occurs, providers will see offsetting credit and debit entries on remit statements that net to zero—meaning no additional payment impact but requiring careful reconciliation of claim adjustments.
Action Required
Immediately: Billing team must prepare to receive and process documentation requests from Aetna Better Health or its third-party vendor regarding member claims. When remit statements arrive, reconcile all claims marked with 'net zero reference'—verify that positive refund amounts and negative adjusted claim amounts offset correctly. Flag any discrepancies to Aetna. Update internal claim tracking and denial management processes to account for these post-payment adjustments. Educate providers that reversed claims with matching positive and negative line items represent third-party recovery activity, not billing errors. No workflow changes to initial claim submission are required, but accounts receivable and remittance posting procedures must accommodate these dual-entry adjustments.