Provider manuals
Important information for health care professionals
You’ll find manuals and guides to support you in providing care, managing your practice and understanding our plans, programs and processes.
Visit our education site for health care professionals, www.AetnaEducation.com. The Reference Tools section contains the following manuals:
- Aetna Benefits Product Guide
A summary of key components of Aetna’s products
- Behavioral Health Provider Manual
Make administration easier with information about:
- Network participation
- Credentialing/recredentialing
- Site visits and monitoring
- Contact information/how to reach us
- Clinical practice guidelines
- Employee Assistance (EAP) Program Manual
Easy-to-read information, including:
- Referral process
- EAP call center access and hours of operation
- Credentialing/re-credentialing
- Reimbursement
- Quality standards
- Pharmacy Management Provider Policies and Services Manual
For participating pharmacies in our network to understand our pharmacy programs. It lets you:
- Get contact information
- Learn more about online connectivity, billing and claims information
- Become educated about drugs requiring precertification, step-therapy or a medical exception
- Read about minimum record-keeping requirements, quality review/audit policy and Medicare appeals or exception
You can also find this guide on our secure pharmacy website.
- Women's Health Programs and Policies Manual
For participating doctors and health care professionals. Learn about the programs and resources to guide female patients through every stage of life. It contains:
- Key phone numbers and contacts
- Obstetric/gynecologic programs, policies and reimbursement
- Beginning Right ® Maternity Program
- Frequently asked questions
- Online resource
Visit our secure provider website for these guides:
- Aetna at a Glance
This quick reference guide for doctors, hospitals and other health care professionals includes regional and local information. It’s in the Communications section, under Mailings. Just choose your state and search. - Health Care Professional Tool Kit
Your complete office manual for working with us. Find the manual in our Support Center, in Doing Business with Aetna. Use it to locate:
- Key contacts at Aetna
- Our policies and procedures
- Our benefits plans
- Electronic connectivity
- Office, pharmacy and patient management information
Related links
Check out other learning opportunities: