Payer ID “NIPON” or 81264
Provider Guide to Medical Network, Eligibility & Claims This guide provides quick access to information on provider networks, member eligibility, and claims processing. Use it to verify coverage, check network participation, and find resources to submit and manage claims efficiently.
ID Card Example
1
2
1
Nippon Life Benefits is the insurance carrier.
2
Aetna is the provider network.
Network
• Nippon Life Benefits is an insurance carrier that uses the Aetna PPO* network • All Aetna PPO providers are in-network for Nippon Life Benefits patients • Participating providers are listed in the Aetna provider directory
Eligibility • • • •
Eligibility and benefits are handled by Nippon Life Benefits—not Aetna For electronic verification, you MUST USE Payer ID “NIPON” or “81264” Do not search under Aetna; the patient will not be found For phone verification, call Nippon Life Benefits at 800-374-1835
Claims • • • • •
Reimbursement by Nippon Life Benefits follows your Aetna PPO contract Do not request upfront payment from patients Submit claims to Nippon Life Benefits (not Aetna) Electronic claims: Payer ID 81264 Paper claims: PO Box 4387, Clinton, IA 52733
Have questions or need help?
Call Nippon Life Benefits Customer Service at 800-374-1835 *Nippon Life Benefits members access the Aetna Open Choice® PPO medical network via Aetna Signature Administrators® (ASA) nationally.
Nippon Life Benefits
NLB 30731-5 06/2026