SilverScript provider portal, phone and payer ID quick facts
| Provider resource entry point | https://www.aetna.com/medicare/compare-plans-enroll/part-d-prescription-drug-plans.html |
|---|---|
| Payer contact reference | 1-866-693-4620 |
| Specialty-benefit claims (source-scoped) | SilverScript is a stand-alone Medicare Part D prescription-drug plan reference. It must not be treated as Medicare Advantage medical coverage; verify the drug plan and pharmacy-benefit workflow. |
| Eligibility payer ID | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately |
| ERA payer ID | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately. Clearinghouse-specific: This registry has not established one national ERA payer ID for SilverScript. ERA enrollment and 835 routing are clearinghouse- and product-specific; verify in the payer portal or clearinghouse payer list before enrollment. |
| Timely filing | Plan-, region- or contract-specific |
| Specialty-benefit authorization reference | Use the applicable Part D coverage-determination, formulary and exception process. Medical prior-authorization routes and clocks are not established by this prescription-plan source. |
| Last reviewed | 2026-04-23 |
- This registry has not established one national timely-filing limit for SilverScript. Verify the controlling plan document, provider agreement, denial notice, or jurisdictional rule.
- This registry has not established a payer-specific appeal ladder for SilverScript. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
- This registry has not established one national ERA payer ID for SilverScript. ERA enrollment and 835 routing are clearinghouse- and product-specific; verify in the payer portal or clearinghouse payer list before enrollment.
Specialty-benefit source scope
SilverScript is a stand-alone Medicare Part D prescription-drug plan reference. It must not be treated as Medicare Advantage medical coverage; verify the drug plan and pharmacy-benefit workflow.
Check the specialty-benefit provider source · Partial source comparison 2026-09-26; not whole-record approval.
Other historical registry details below are not certified by this source-scoped comparison. Confirm the issuing company, applicable product and current instructions.
SilverScript at a glance
| Registry name (issuer must be confirmed) | SilverScript Insurance Company |
|---|---|
| Stored aliases (identity not verified) | Aetna SilverScript, CVS SilverScript Part D |
| Category | Specialty benefits; confirm issuer and member product |
| Parent organization | Not verified by this product-source comparison |
| Specialty-benefit claims (source-scoped) | SilverScript is a stand-alone Medicare Part D prescription-drug plan reference. It must not be treated as Medicare Advantage medical coverage; verify the drug plan and pharmacy-benefit workflow. |
| Eligibility (270/271) payer ID | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately |
| ERA (835) payer ID | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately. Clearinghouse-specific: This registry has not established one national ERA payer ID for SilverScript. ERA enrollment and 835 routing are clearinghouse- and product-specific; verify in the payer portal or clearinghouse payer list before enrollment. |
| NAIC company code | Confirm the actual issuer; not verified by this comparison |
| States covered | Verify specialty, issuer, member product and state; not an insured-footprint certification |
| Provider resource entry point | https://www.aetna.com/medicare/compare-plans-enroll/part-d-prescription-drug-plans.html |
| Provider phone | 1-866-693-4620 |
Always verify claims-routing details against the member ID card and the payer's current EDI companion guide before submission.
Timely filing & appeals for SilverScript
A single filing deadline has not been established for this SilverScript record. Check the member's plan, regional manual, provider agreement and applicable rules before calculating the deadline.
| Submission type | Window |
|---|---|
| Initial claim reference | Plan-, region- or contract-specific |
| Out-of-network initial claim | Verify the member's plan and applicable out-of-network rules |
| Secondary / coordination of benefits | Verify the allowed window and start event; a primary EOB does not automatically restart filing |
| Corrected claim | Verify correction instructions; do not substitute an appeal deadline |
| Reconsideration / appeal | Use the applicable denial or decision notice and the process below |
This registry has not established a payer-specific appeal ladder for SilverScript. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
Source: SilverScript provider policy. Always confirm before disputing a TFL denial — payer policies are versioned and product-specific.
Specialty-benefit authorization requirements with SilverScript
Use the applicable Part D coverage-determination, formulary and exception process. Medical prior-authorization routes and clocks are not established by this prescription-plan source.
Specialty-benefit policy entry point
SilverScript is a stand-alone Medicare Part D prescription-drug plan reference. It must not be treated as Medicare Advantage medical coverage; verify the drug plan and pharmacy-benefit workflow. Verify eligibility (270/271), remittance (835) and any authorization transaction (278) separately for the issuing company, product and clearinghouse. Specialty-benefit resources do not certify those transactions. Registry flags are not current transaction-complete approval; an unverified field is not a finding that a service is unavailable.
Top denial reasons for SilverScript
Per-payer denial benchmarks publish here once the QuickIntell anonymized ETL pipeline ingests sufficient SilverScript volume. Until then, see the broader CARC reference for industry-wide remediation guides.
Electronic claims, eligibility & ERA
| Transaction | Registry indication — not verification | Routing reference |
|---|---|---|
| Specialty-benefit claims (source-scoped) | Listed in registry; verify current scope | SilverScript is a stand-alone Medicare Part D prescription-drug plan reference. It must not be treated as Medicare Advantage medical coverage; verify the drug plan and pharmacy-benefit workflow. |
| 270 / 271 eligibility | Not established; verify separately | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately |
| 278 prior authorization | Listed in registry; verify current scope | Verify X12 278 routing separately |
| 835 ERA | Verify support and enrollment separately | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately. Clearinghouse-specific: This registry has not established one national ERA payer ID for SilverScript. ERA enrollment and 835 routing are clearinghouse- and product-specific; verify in the payer portal or clearinghouse payer list before enrollment. |
Payer IDs vary by clearinghouse — confirm against your clearinghouse payer list (Availity, Change Healthcare/Optum, Waystar) before configuring submitter routing.
Source checks and remaining limits
The latest partial comparison is dated . Retained earlier findings keep their original dates below. This is a partial source check, not a whole-page, clinical or legal review. It does not refresh the legacy review date above.
category / record_scope
Source comparison: 2026-09-26
SilverScript is a stand-alone Medicare Part D prescription-drug plan, not a Medicare Advantage medical plan.
Primary source for category / record_scopeportal_url
Source comparison: 2026-09-26
Caremark serves member prescription management; a member account must not be presented as a general medical-provider claim portal.
Primary source for portal_url
Not checked in this pass: Whole-record approval, legal identity, ownership and complete product coverage; Authenticated transactions and QuickIntell integrations; provider_phone: Current Aetna page distinguishes member-service numbers; it does not establish the baseline 866-693-4620 as a provider claims line.; timely_filing_days / payer_ids / electronic_claims_supported / supports_279_271 / supports_278: A PDP description does not establish medical X12 capabilities or a universal claim clock; prescription workflows require separate pharmacy-specific evidence..
Sources used for this guide
Evaluate QuickIntell workflow fit for SilverScript
These module references are evaluation starting points, not evidence of a validated connection, supported transaction or customer deployment. Confirm the actual member plan, data access and product scope first.
- QuickAuth
Assess authorization-packet and status workflows for SilverScript; confirm product, service, delegated reviewer and permitted submission channels.
Frequently asked questions about SilverScript
What claims source scope does this SilverScript reference cover?
SilverScript is a stand-alone Medicare Part D prescription-drug plan reference. It must not be treated as Medicare Advantage medical coverage; verify the drug plan and pharmacy-benefit workflow.
Where is the SilverScript provider portal?
Use https://www.aetna.com/medicare/compare-plans-enroll/part-d-prescription-drug-plans.html as a starting point for SilverScript provider resources. This link may open a directory or contact page rather than a transaction portal. Select the applicable product and administrator, then verify the available functions, enrollment and access requirements. QuickIntell is not the official payer portal.
What is the timely filing limit for SilverScript?
A single filing deadline has not been established for this SilverScript record. Check the member's plan, regional manual, provider agreement and applicable rules before calculating the deadline.
Does SilverScript publish a single claims payer ID?
This registry has not established one all-product claims payer ID for SilverScript. See the source findings for transaction-specific references. Look up the correct ID for the member's plan and transaction in your clearinghouse directory and verify against the member ID card before submission.
Does SilverScript accept electronic claims?
SilverScript is a stand-alone Medicare Part D prescription-drug plan reference. It must not be treated as Medicare Advantage medical coverage; verify the drug plan and pharmacy-benefit workflow. Verify eligibility (270/271), remittance (835) and any authorization transaction (278) separately for the issuing company, product and clearinghouse. Specialty-benefit resources do not certify those transactions. Registry flags are not current transaction-complete approval; an unverified field is not a finding that a service is unavailable.
How do I appeal a SilverScript denial?
This registry has not established a payer-specific appeal ladder for SilverScript. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
Which authorization requirements apply to SilverScript specialty benefits?
Use the applicable Part D coverage-determination, formulary and exception process. Medical prior-authorization routes and clocks are not established by this prescription-plan source.
What is the SilverScript provider phone number?
This registry lists 1-866-693-4620 as a contact reference for SilverScript. Confirm the number and service scope against the member ID card and current product-specific directory; claims, eligibility and authorization inquiries may use different teams.
Automate workflows around SilverScript requirements
Connect eligibility, prior authorization, pre-submission claim checks, and remittance routing in one governed workflow. Payer and plan configuration is confirmed during implementation.
Disclaimer
This page is operational reference for medical-billing professionals. It is not legal, clinical, or contractual advice. Payer policies change without notice — always verify against SilverScript's current published documents before submission. CPT® is a registered trademark of the American Medical Association.