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    • Self-service when calling Aetna Voice Advantage® (AVA) telephone help line

     

    If you are calling Aetna to confirm whether precertification is required, you can get your confirmation, a reference number and even a fax number for the member’s record all without having to speak to a representative. It’s that easy! Just call 1-888-MD-Aetna (1-888-632-3862) (TTY: 711) for commercial plans or 1-800-624-0756 (TTY: 711) for HMO/ME plans. Then follow these directions:

     

    • Enter your provider ID (NPI, TIN, PIN, etc.).
    • Select “precert” from the main menu (option 3).
    • Enter the member ID and the member’s date of birth (you will also need the patient’s ZIP code if you use a PIN as your provider ID). Confirm the patient’s name.
    • You will be asked whether your call is in regard to behavioral health
      • If yes, your call will be routed to the appropriate representative.
      • If not, you will continue to self-service (if your member is a part of a dedicated account, you will hear a message and will be routed to the appropriate representative).
    • Precert Self-Service
      • You will hear the following menu options: Is Precert Required (option 1), Update a Precert (option 2), Precert Status (option 3), Referrals (option 4), Coverage and Benefits (option 5).
        • Choose option 1, Is Precert Required.
          • After being presented with the Outpatient, Inpatient or Chiropractic options, choose Outpatient.
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              • Enter or speak the CPT/HCPCS procedure code.
              • Confirm the code.
              • Listen for the appropriate response (Precert Required—through Aetna Medical Precert, Dedicated Aetna Unit, Third Party Vendor; Precert Not Required—receive a reference number and have the ability to receive a fax with the requested CPT/HCPCS code and the ”precert not required” message for the patient’s chart).
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