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 a RED asterisk (*) are required in order to proceed.
You also can fax your information to the number we provided in your validation letter.
