Tips for requesting authorizations. (Exception: Some members have plans with a Prior authorization is not required for emergency services. 1-800-US-AETNA ( 1-800-872-3862) (TTY: 711) between 8:00 AM and 6:00 PM ET. For help using Novologix on NaviNet, New federal guidelines let you get reimbursement for eligible over-the-counter COVID-19 tests purchased January 15, 2022 or later. 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 Next steps after a PA request. LETs GET STARTED. Complete the Texas standard prior authorization request form (PDF) . 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. 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 You should send all faxes to 1-833-596-0339. 1 - How to get help. If you wish to request a Medicare Part Determination (Prior Authorization or Exception request), please see your Heres how it works: Submit your initial request on Availity with the Authorization (Precertification) Add transaction. You can also fax your through our secure provider website or by Fax: 1-855-633-7673. No phone trees. We have a new central fax number for utilization management and inpatient concurrent review. Attach supporting PLEASE USE THIS FORM FOR AETNA MEMBERS THERAPY PROVIDER INFORMATION Instructions: 1. That's why we have a team of experts and a variety of help resources to make requests faster and easier. We know PA requests are complex. 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. Use this form when requesting prior authorization of therapy services for ALWAYS verify member eligibility prior to providing services. Over-the-counter (OTC) COVID-19 at-home test kits. Call us. Aetna Better Health of Kansas requires prior authorization for select, acute outpatient services and planned hospital admissions. Get information about Aetnas precertification requirements, including precertification lists and criteria for patient insurance preauthorization. This is the phone number for the Corporate Contact Center. 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. For help using Novologix, call them at 1-866-378-3791 or send them an email. They do not have access to member Aetna providers follow prior authorization guidelines. Medicare Part D. Phone: 1-855-344-0930. If you need help understanding any of these guidelines, please call Member Services at 1-855-463-0933 (TTY: 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 The form must be completed by the medical staff and submitted to Aetna in the proper state jurisdiction. 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. Requesting authorizations on Availity is a simple two-step process. By fax. Complete the appropriate authorization form (medical or pharmacy). 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. For assistance in registering for or accessing this site, please contact your Provider Relations representative at 1-855-364-0974. For Part D prior authorization forms, Incomplete PA requests. Then, fax the form to 1-866-835-9589. For assistance in registering for or accessing the secure provider website, please contact your provider relations representative at 1-855-676-5772 (TTY 711 ). Fax: 1 (877) 269-9916; And watch for training webinars in the coming months.
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