Find clinical and pharmacy policy bulletins and Aetna healthcare policy and guidelines. Get information about eligibility, precertification and more.
Health Care Policies & Guidelines
Determining Insurance Eligibility
Find out if a patient is eligible for coverage.
Billing, Payment and Reimbursement
Here are the forms to submit claim information for electronic billing and payment. Some state guidelines apply.
Insurance Dispute and Appeal Process
These resources can help you solve claim disputes and appeals.
Frequently Used Documents