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.