Tools & Educational Material

Transactions

Check coverage, claims, benefits information and more with our transaction tools.

• Aetna Physician Self-Service Website
  
• Aetna Voice Advantage
  Medical
  Dental
  Pharmacy
  
• DocFind® Referral Directory
  
• National Provider Identifier(NPI) Overview

Clinical resources

Try these tools and resources to help treat your Aetna patients. 

Primary care based behavioral health support programs

• Alcohol Screening, Brief Intervention and Referral to Treatment
• Depression in Primary Care
• Integrated Primary Care Behavioral Health Management
• Pediatric Behavioral Health Management 

Other tools and resources

• Aetna MedQuery Program 
  
• Clinical Policy Bulletins (Medical and Pharmacy)
  
• LOCAT (Level of Care Assessment Tool)
  
• Medication Search

Doing business with Aetna

Access policies and guidelines related to payment, appeals, billing, disputes and more. 

• Medicare Hospital Discharge Appeal Process
  
• Aetna Benefit Products Booklet  (PDF, 258 KB)
  
• Billing Policies and Processes
  
• Change in Reimbursement Policy for Non Par Behavioral Health Providers
  
• Credentialing and Becoming an Aetna Physician
  
• National Provider Identifier (NPI) Overview
  
• Online Claims Explanation of Benefits (EOB)
  
• Physician Advisory Board
  
• Practitioner/Provider Dispute Process
  
• Practitioner/Provider Dispute Process Q&A
  
• Practitioner/Provider Dispute Process Quick Reference Guide
  
• Precertification List
  
• Provider Procedures for Submitting Refunds
  
• Submission of Clinical Records
  

Pharmacy

These resources can help your patients get the right medication at the right time and the right cost. 

• Aetna Specialty Oncology Services  (PDF, 259 KB)
  
• Clinical Policy Bulletins
  
• Medication Quick Guides
  Quick Guide to Migraine Medications  (PDF, 294 KB)
  Quick Guide to Heart Care Medications  (PDF, 237 KB)
  Quick Guide to Diabetes Medications  (PDF, 249 KB)
  Aetna Specialty Pharmacy At a Glance  (PDF, 666 KB)

Related links

Document & Form Library

Training & Education