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How to ID providers no longer in the network

 

Maryland Insurance Code 15-112 — Provider Panels requires Aetna® to notify primary care physicians of the termination of a specialty referral services provider. To comply, we offer access to the Maryland Provider Terminations (Quarterly Report). This report lists specialists in HMO-based plans whose participation in the Aetna network terminated during the specified time frame.

 

You can find this report (PDF) in the Southeast Regional edition of our Office Manual for Health Care Professionals. Review the report periodically to see which providers no longer participate with us.

 

To view a current listing of providers who participate in our network, go to our provider referral directory. Referring your Aetna members to in-network providers helps them control their out-of-pocket costs.

 

If you have questions about the Aetna network or making specialty referrals to in-network providers, please contact our Provider Service Center at 1-800-624-0756 (TTY: 711).