The form must be completed by the medical staff and submitted to Aetna in the proper state jurisdiction. And watch for training webinars in the coming months. Prior authorization is not required for emergency services. Use this form when requesting prior authorization of therapy services for You should send all faxes to 1-833-596-0339. Fax: 1-855-633-7673. PLEASE USE THIS FORM FOR AETNA MEMBERS THERAPY PROVIDER INFORMATION Instructions: 1. Call us. 1-800-US-AETNA ( 1-800-872-3862) (TTY: 711) between 8:00 AM and 6:00 PM ET. This is the phone number for the Corporate Contact Center. They do not have access to member accounts but they can provide Aetna Member Services contact information. For your convenience, we recommend that you add your Member Services number to your phone contacts. It's easy to update a provider address, phone number, fax number or email address, or initiate an out-of-state move or a change in provider group. 1-800-US-AETNA ( 1-800-872-3862) (TTY: 711) between 8:00 AM and 6:00 PM ET. You can also fax your Requesting authorizations on Availity is a simple two-step process. For help using Novologix on NaviNet, For Part D prior authorization forms, Complete the appropriate authorization form (medical or pharmacy). You can cancel your Aetna life insurance policy online or by phoneAetna customer service can be reached by calling 1-800-872-3862You will need to write an Aetna termination of coverage letter, which can easily be done through our secure provider website or by Get information about Aetnas precertification requirements, including precertification lists and criteria for patient insurance preauthorization. By fax. Call us. No phone trees. Complete the Texas standard prior authorization request form (PDF) . ALWAYS verify member eligibility prior to providing services. A synopsis of the criteria is available to Providers and Members on request and free of charge by calling myNEXUS at 833-585-6262 or by emailing provider_network@myNEXUScare.com. Heres how it works: Submit your initial request on Availity with the Authorization (Precertification) Add transaction. Tips for requesting authorizations. Medicare Part D. Phone: 1-855-344-0930. How to get help. Incomplete PA requests. We have a new central fax number for utilization management and inpatient concurrent review. Aetna Better Health of Kansas requires prior authorization for select, acute outpatient services and planned hospital admissions. This is the phone number for the Corporate Contact Center. If you need help understanding any of these guidelines, please call Member Services at 1-855-463-0933 (TTY: New federal guidelines let you get reimbursement for eligible over-the-counter COVID-19 tests purchased January 15, 2022 or later. For help using Novologix, call them at 1-866-378-3791 or send them an email. 1 - You can fax your authorization request to 1-855-320-8445. You can also submit service authorizations through our secure web portal. Subcontractors Aetna Better Health works with certain subcontractors to coordinate services that are provided by entities other than Aetna Better Health, such as transportation, vision or dental services. Aetna providers follow prior authorization guidelines. Attach supporting Over-the-counter (OTC) COVID-19 at-home test kits. (Exception: Some members have plans with a You can fax your authorization request to 1-855-734-9389. Prior authorization. Aetna Better Health Premier Plan MMAI require prior authorization for select acute outpatient services and planned hospital admissions. Prior authorization is not required for emergency services. If the member is covered, services and those requiring prior authorization change, will receive at least 60 days advance notice via provider newsletter, e-mail, updates to this website, letter (U.S. mail), telephone call or office visit. That's why we have a team of experts and a variety of help resources to make requests faster and easier. If you wish to request a Medicare Part Determination (Prior Authorization or Exception request), please see your For assistance in registering for or accessing the secure provider website, please contact your provider relations representative at 1-855-676-5772 (TTY 711 ). We know PA requests are complex. Aetna Better Health Premier Plan MMAI works with certain subcontractors to coordinate services that are provided by entities other than the health plan, such as transportation, vision or dental They do not have access to member Then, fax the form to 1-866-835-9589. Print an authorization appeal form Fax: 1-724-741-4953 Mail: Aetna Medicare Part C Appeals PO Box 14067 Lexington, KY 40512 If you need a faster (expedited) decision, you Fax: 1 (877) 269-9916; LETs GET STARTED. Next steps after a PA request. For assistance in registering for or accessing this site, please contact your Provider Relations representative at 1-855-364-0974.
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