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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.

 

Update provider data

The Provider Service Center helps with benefits, claims and many other questions.

 

  • Medicare medical and dental plans - 1-800-624-0756 (TTY: 711)
  • Non-Medicare plans, including individual and family plans - 1-888-MD AETNA (1-888-632-3862) (TTY: 711)
  • Dental for non-Medicare plans - 1-800-451-7715 (TTY: 711)
  • Voluntary plans - 1-888-772-9682 (TTY: 711)
  • Worker's comp - 1-800-238-6288 (TTY: 711)
  • ASA and Meritain Health®- use phone number on member's ID card
  • Mental health treatment - use phone number on member's ID card
  • Substance abuse treatment - use phone number on member's ID card

 

Precertification

 

  • Medicare plan precertification - 1-800-624-0756
    Choose precertification prompt (TTY: 711)
  • Non-Medicare, including individual and family plan precertification -  1-888-MD AETNA (1-888-632-3862) Choose precertification prompt (TTY: 711)
  • Specialty precertification (injectable drugs) for Medicare plans – 1-866-503-0857 (TTY: 711)
  • Specialty precertification (injectable drugs) for non-Medicare, including individual and family plans – 1-866-752-7021 (TTY: 711)
  • Pharmacy precertification (oral drugs) for Medicare plans – 1-800-414-2386 (TTY: 711)
  • Pharmacy precertification (oral drugs) for non-Medicare, including individual and family plans – 1-855-240-0535 (TTY: 711)
  • BRCA genetic testing (precertification and information) - 1-877-794-8720 (TTY: 711)
  • National Medical Excellence (transplant related care and cellular therapy services) for Medicare, non-Medicare, including individual and family plans – 1-877-212-8811 (TTY: 711)
  • Participating providers can find more precertification phone numbers in Participating provider precertification list for Aetna (PDF)

Credentialing and joining our network - 1-800-353-1232 (TTY: 711)

 

Special programs and other phone numbers

 

By using our provider portal on Availity, you can handle tasks for your patients with Aetna plans, including:

 

  • Check coverage and benefits
  • View Claim status
  • Request Authorization

Login to or register for Availity

Relocating, retiring, job changes

 

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.

 

Provider termination form and directory update

If ONE of the following criteria applies to you, please request a medical application form using the link below:

 

  • I am a physician
  • I am a non-physician health care professional who is not employed by an Aetna-contracted provider (physician group, hospital, etc.) I practice independently and I want to contract with Aetna
  • I am a non-physician health care professional who wants to be available for selection as a primary care provider (PCP), and my state regulations allow me to serve as a PCP. I may or may not be employed by an Aetna-contracted provider.

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.

 

Request Part D participation

 

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

 

Chain or Pharmacy Services Administrative Organization (PSAO) pharmacies

 

Chain or PSAO pharmacies can request to participate in our Part D retail pharmacy network by e­mailing us this information:

 

  • Pharmacy name
  • Chain code/NCPDP
  • Name, address and phone number of the pharmacy contact person
  • Name and title of the authorized agreement signer

E-mail your pharmacy information to Aetna

To request participation in First Health networks, follow the link below.
 

Apply to join a network

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Aexcel

 

Bridges to Excellence

Have questions about our products, policies and services? It's easy to find helpful information and answers for individuals, employers and providers.

 

Frequently asked questions

Legal notices

Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna).

Health benefits and health insurance plans contain exclusions and limitations.