Precertification applies to all benefits plans that include a precertification requirement. Participating providers are required to pursue precertification for procedures and services on the lists below.
2015 Participating Provider Precertification List - Effective date: February 10, 2015
Behavioral Health Precertification List
Radiology Precertification (state, product, vendor list)
Providers may use the following form to submit non-emergent precertification requests for higher benefits for non-participating provider services:
Use our search tool to see if precertification is required. Enter one or more 5-digit CPT codes. This tool also helps to determine if a special program applies.
Please note that the Aetna Student Health Precertification List is currently under revision. For assistance and information, contact Aetna Student Health Customer Service at 877-480-4161.