Document & Form Library

Get claims, precertification and other medical, dental and pharmacy forms you need here.

Join the Aetna Network

When you join our network, you'll get access to information, tools and support to care for your Aetna patients. Request an application.


Determining coverage

Review evidence-based clinical guidelines from nationally recognized authorities. See how they guide our staff in determining coverage, such as inpatient review, discharge planning and retrospective review.


Precertification

Find out if a particular service, procedure, prescription drug or medical device needs precertification.


Medicare guidelines

Find the Aetna Medicare guidelines, documents and forms you need.


Claims & Administration

Get claims, payment, reimbursement and billing documents; including ERA and EFT enrollment forms and online EOB opt-out information.

For Ohio Providers Only (Legislation 3901.381) - Refusal to Enroll in EFT form  (PDF, 63 KB).


National Provider Identifier (NPI)

Apply for, share and use your NPI.


Aetna Pharmacy Management

Review the Preferred Drug Lists and Pharmacy Clinical Policy Bulletins. Request an enrollment packet from Aetna Pharmacy Management to become a participating pharmacy. Find specialty medication forms, too.


Aetna Dental

Download a dental claim form. 


Aetna Behavioral Health

Our Behavioral Health Provider Manual  (PDF, 519 KB) and our Employee Assistance Program (EAP) Provider Manual  (PDF, 531 KB) give you the resources you need to work with us, including network participation, the authorization/precertification process and more.

Other resources include: 

• Behavioral Health/Medical Provider Communication Form (PDF, 340 KB)
• Make the Connection Member flyer (PDF, 874 KB)
• Treatment Record Review Provider Sample Forms (PDF, 170 KB)
• Treatment Record Review Provider Sample Corrective Action Plan (PDF, 161 KB)

Quality Measurement

Facilities designated as Aetna Institutes™ are publicly recognized, high-quality, high-value health care facilities. Learn more about the requirements to be selected as an Institute of Excellence® or Institute of Quality®.

Physician Advisory Board

The Physician Advisory Board gives Aetna advice on issues of importance to doctors and makes recommendations for our business practices and policies. Read the board's recent meeting summaries.


Health care newsletters

Our OfficeLink Update™ newsletter brings you important policy and practice changes, regional news, online course offerings and more.