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Provider manuals

You will find guides to support you in providing care, managing your practice and working with us.
 

Read our quick-reference guide (PDF)

We have a set of criteria for participation in our provider network.

 

See the criteria

This guide explains how to work with us. It has policies, procedures and contact information.

 

Office Manual for Health Care Professionals (applies to all regions)

 

Office Manual Supplement (all states) (PDF)

This overview has information about APCN and APCN Plus Networks.

 

Aetna Premier Care Network/Aetna Premier Care Network Plus Provider Guide (PDF)

This manual has information about our specialty programs and clinical practice guidelines, along with information on credentialing.

 

Read the behavioral health manual (PDF)

This manual details our referral process, quality standards, credentialing and reimbursement process.

 

Explore the EAP manual (PDF)

This guide is a reference tool to help contracting delegates and their staff understand how to perform delegated functions to Aetna standards.

 

Delegation management guide (PDF)

Legal notices

Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna).

Health benefits and health insurance plans contain exclusions and limitations.