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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 health maintenance organization–based plans whose participation in Aetna’s network terminated during the specified time frame.

 

You can find this report in 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 online 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, contact our Provider Service Center at 1-800-624-0756.