Rhode Island Rule 230 RICR 020-30-9 requires that we annually give providers a description of the complaint and grievance process that is available to both members and providers. Our description also provides guidance for distinguishing a complaint/grievance from a benefits determination appeal, and the rights associated with each. If you prefer a paper copy of the annual notice, please contact the Provider Service Center at 1-888-MD-AETNA (1-888-632-3862) (TTY: 711). For a full description of the Aetna provider appeals process, see the following:
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The Fight Is In Us site
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Links to various non-Aetna sites are provided for your convenience only. Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites.
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Each main plan type has more than one subtype. Some subtypes have five tiers of coverage. Others have four tiers, three tiers or two tiers. This search will use the five-tier subtype. It will show you whether a drug is covered or not covered, but the tier information may not be the same as it is for your specific plan. Do you want to continue?
