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Provider data validation

Aetna is required to validate each participating provider’s demographic information and certain other information that is displayed in our online provider directory.

 

  • If no changes are needed, please complete the online confirmation form below. Once complete, we’ll automatically update our records to show your validation is done. 
  • Be sure to include a contact name and phone number so we can follow up if we require any additional information.
  • All fields marked with an asterisk (*) are required in order to proceed.
 

1) Information

e.g., 01/01/2020
Please select Social Security number ONLY if you do not have an Employer ID number.
Enter 9 digits (e.g., 123456789)
Provider ID Number (PIN) prefix
e.g., 1234567
*All information on validation form is correct
 

2) Contact information

Submitter's first name
Submitter's last name
Submitter's phone number
Enter provider's email address

You also can fax your information to the number we provided in your validation letter.

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.