Get the answers you need here
To help us direct your question or comment to the correct area, please select a category below.
Contact us online
Contact us by phone
- The Provider Service Center helps with contracting, patient services, precertification and many other questions
- HMO and Medicare Advantage - 1-800-624-0756
- Indemnity and PPO-based plans - 1-888-MD AETNA (1-888-632-3862)
- Voluntary plans - 1-888-772-9682
- Worker’s comp - 1-800-238-6288
- ASA and Meritain - use phone number on member’s ID card
- BRCA genetic testing (precertification and information) - 1-877-794-8720
- Claims – if you have questions about claims, contact the Provider Service Center (see list below)
- Credentialing - 1-800-353-1232
- Dental providers - 1-800-451-7715
- Disease management programs - 1-866-269-4500
- Infertility program - 1-800-575-5999
- Maternity program - 1-800-272-3531
- Mental health treatment - use phone number on member’s ID card
- NaviNet help - registration questions, help with user name/password issues 1-888-482-8057
- Pharmacy management -1-800-238-6279
- Specialty Pharmacy -1-866-782-2779
- Substance abuse treatment - use phone number on member’s ID card
- Transplant program - 1-877-212-8811
Change information in our provider directory
Network applications (behavioral health, dental, facility and pharmacy)
Request medical application
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
If none of these criteria apply
If none of the above criteria apply, you may be able to fill out a mid-level practitioner form. This will add your demographic information to our provider database. This process does not require credentialing.
Do both of these situations apply to you?
- I am a Nurse Practitioner, Registered Nurse Anesthetist, Physician Assistant, Clinical Nurse Specialist or Certified Nurse Midwife who is employed by an Aetna-contracted provider (physician group, hospital, etc.)
- I will not be practicing as a primary care provider (PCP)
Yes – I want to fill out the mid-level practitioner form
No – I need something else
Request Part D pharmacy participation
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
Chain or Pharmacy Services Administrative Organization (PSAO) pharmacies
Chain or PSAO pharmacies can request to participate in our Part D retail pharmacy network by e-mailing 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
Request workers’ compensation, auto injury, First Health participation
To request participation in Coventry Workers’ Compensation, Coventry Auto Injury, or First Health networks, follow the link below.
Exception: For workers' compensation networks in New York or Texas, do not apply online; instead, call 1-800-937-6824.
Submit feedback
I would like to provide feedback about:
For non-participating health care professionals
Secure provider website
Your secure account on NaviNet allows you to handle tasks for your patients with Aetna plans, including:
- Check coverage and benefits
- View claim status
- Request precertification
Log in to your NaviNet account
Register for an account
If you’re new to NaviNet, we offer a monthly webinar that explains how to use and manage its functions.
Register for a webinar or learn more
Contacting us by phone
Eligibility, benefits and claims inquiries
The Aetna Voice Advantage system allows you to check coverage and benefits, find the status of a claim, and complete other tasks over the phone.
For your call, you will need:
- NPI and/or Tax ID
- Patient’s Aetna ID number
- Patient’s date of birth
1-800-624-0756 – HMO-based and Medicare Advantage plans
1-888-632-3862 (1-888-MD-AETNA) – All other plans
Prescription drug precertification
1-800-238-6279 (1-800-AETNA-RX) – Medicare Advantage plans and commercial (group) plans
Provider office manual
Our provider office manual includes policies, procedures and contact information.
See the provider office manual
Contact us online
Can't find something on our site?
We offer two ways to contact us online. You should receive a response within 48 hours.
