Provider resources to help you work with us
You will find guides to support you in providing care, managing your practice and working with us.
Network Participation Criteria
We have a set of criteria for participation in our provider network.
Office Manual for Health Care Professionals
This guide explains how to work with us. It has policies, procedures and contact information.
Office Manual for Health Care Professionals (applies to all markets)
Mid-America Office Manual Supplement (IA, IL, IN, KS, KY, MI, MN, MO, MT, ND, NE, OH, OK, SD, WI, WY)
Northeast Office Manual Supplement (CT, DE, MA, ME, NH, NJ, NY, PA, RI, VT, WV)
Southeast Office Manual Supplement (AR, AL, DC, FL, GA, LA, MD, MS, NC, SC, TN, VA)
West Office Manual Supplement (AK, AZ, CA, CO, HI, ID, NM, NV, OR, TX, UT, WA)
Behavioral Health Provider Manual
This manual has information about our specialty programs and clinical practice guidelines, along with information on credentialing.
Employee Assistance Program (EAP) Manual
This manual details our referral process, quality standards, credentialing and reimbursement process.
Women’s Health Programs and Policies Manual
The women’s health manual is being updated, and a revised version will be posted early in 2017.
Aetna Benefits Product Guide
This guide is being updated, and a revised version will be posted soon.