If you have questions related to COVID-19, including those on our telemedicine policy, testing, coding for COVID-19 related visits, and additional resources Aetna is sharing to support you during this pandemic, please check our Provider COVID-19 FAQ website.
To help us direct your question or comment to the correct area, please select a category below.
It's easy to update a provider address, phone number, fax number, email address or initiate an out-of-state move or a change in provider group.
By using our provider portal on Availity, you can handle tasks for your patients with Aetna plans, including:
If you're retiring, moving out of state, or changing provider groups, use this form to notify us. We'll need to terminate your existing agreement with us. If you're moving or changing jobs, you can sign a new agreement for your new practice or location.
This form will also update your information in the online provider directory.
If ONE of the following criteria applies to you, please request a medical application form using the link below:
Request a medical application - credentialing is required
Note: If you are a hospital based provider seeking to join an already contracted group, you do not need to complete the application independently.
Independent retail pharmacies
Independent retail pharmacies can fill out the form at the link below. Please fill in all fields.
Independent non-retail pharmacies
Independent non-retail pharmacies – such as long-term care facilities, home infusion pharmacies, and mail order pharmacies – can call one of the phone numbers below to request participation:
CVS Health - 1-480-391-4623
To request participation in Coventry Workers’ Compensation, Coventry Auto Injury, or First Health networks, follow the links below.
Exception: For workers' compensation network in Texas, do not apply online; instead, call 1-800-937-6824.
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