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.

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

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

A current list of the services that require authorization is available on the Provider Portal, through our Provider Prior Authorization Tool (ProPAT).

For more help understanding what you need prior authorization for, call the Member Services number on your member ID card, 1-833-570-6670 (TTY: 711). We're ...

Use Availity to access Novologix®, our portal for Drug Prior Authorization requests. Novologix is an easy-to-use digital platform, providing real-time, evidence ...

Aetna partners with Novologix to offer free electronic prior authorization services for specialty drugs on Aetna's National Precertification List. You can use ...

Authorizations on Availity®. Learn how to use our online precertification tools. We'll show you how to look up procedure codes that require preauthorization ...

Find helpful tools & resources. Precertification · Prior Authorization Form · Clinical policy bulletins · Dispute and appeals overview · Find a doctor · Join ...

9 мая 2024 г. · Use the ProPat tool to find out if you need PA. You can find out if services need PA by using our ProPat online PA search tool: PA tool for ...