Find forms and applications for health care professionals and patients, all in one place. Address, phone number and practice changes. Existing provider resources · Disputes and appeals · Precertification overview

This pre-authorization request form should be filled out by the provider. Before completing this form, please confirm the patient's benefits and eligibility ...

Requesting authorizations on Availity is a simple two-step process. Here's how it works: 1. Submit your initial request on Availity with the Authorization ( ...

Please include the following: Conservative treatment tried and failed, applicable diagnostic testing with results and lab values and a medication list.

Visit www.aetna.com/formulary to access our Pharmacy Clinical Policy Bulletins. For FASTEST service, call 1-855-240-0535, Monday-Friday, 8 a.m. to 6 p.m. ...

Prior authorization is required for all of our services. You can find a current list of the services we cover on the Provider Portal.

Procedures, surgeries, supplies, medications and care that may require prior authorization include: Hip and knee replacements; Radiology or imaging services

Get information about Aetna's precertification requirements, including precertification lists and criteria for patient insurance preauthorization.

Here you can request prior authorization, review our nationally accepted evidence-based guidelines, and receive announcements about program updates.

Your doctor can send us a request to get that approval. This is called prior authorization. It's also known as “preapproval” or “precertification.”