CommercialAdministrativeHigh impact
Availity N-A Improved claim experience with digital updates
Aetna Better Health of Virginia·VA·Reimbursement
Effective date
Aug 7, 2026
We identified it
Aug 22, 2026
Summary
Aetna is implementing digital claim management improvements effective August 7, 2026, including ERA enhancements showing when documents are needed, a new Medical Attachments Dashboard in Availity for submitting up to 10 files (64 MB each), and changes to claim status inquiry codes (P3/P4 converting to F2). The 277P transaction will be discontinued. Billing teams must transition to using Availity for document submission instead of appeals or dispute addresses to avoid claim delays.
Action Required
By August 7, 2026: (1) Billing team must transition all Aetna commercial claim document submissions from appeals forms and dispute addresses to the Medical Attachments Dashboard in Availity. (2) Update internal workflows and staff training to require use of Availity for submitting requested documents and attachments. (3) Train billing staff to recognize new category code F2 in Claim Status Inquiry (replacing P3/P4) to identify claims requiring additional information. (4) Implement monitoring of ERAs for multiple remark code messages that provide enhanced claim details. (5) Remove reliance on 277P transactions for claim status inquiries, transitioning to alternative status tracking methods. (6) Ensure all staff are familiar with the Medical Attachments Dashboard demo (accessible via Availity Help & Training). Document submission through Availity will prevent delays; failure to comply may result in missed submission deadlines and claim processing delays.