Our Enhanced Clinical Review Program will begin January 1, 2019. The program requires authorization for certain procedures and will be administered by CareCore National doing business as eviCore healthcare. It will affect Western New York members in our commercial and Medicare Advantage HMO/PPO Aetna-branded products. Below are the services that will and will not require preapproval under this program.
Services that will require preapproval
For a complete list of procedures requiring an authorization, visit eviCore healthcare.
Services that will not require preapproval
How to request prior authorizations
– 1-800-540-2406 (radiology)
– 1-888-444-1562 (cardiology)
– 1-888-511-0403 or 866-999-3510 (sleep studies)
Have questions or need information?
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.
The information you will be accessing is provided by another organization or vendor. If you do not intend to leave our site, close this message.