Get the free Aetna Precertification Notification

This document serves as a request for precertification of Alpha 1-Antitrypsin Inhibitor Therapy, including patient, prescriber, and product information required for prior authorization review.

How to fill out aetna precertification notification

How to fill out Aetna Precertification Notification

1. Obtain the Aetna Precertification Notification form, either online or from your healthcare provider.
2. Fill in the patient's information, including name, date of birth, and insurance ID number.
3. Provide the details of the medical procedure or service that requires precertification.
4. Include the provider's information, such as name, contact number, and provider ID.
5. Attach any required medical documentation that supports the need for the procedure or service.
6. Review the completed form for accuracy and ensure all required fields are filled.
7. Submit the form via the appropriate channel (online portal, fax, or mail) as per Aetna's guidelines.
8. Retain a copy of the submitted form and any confirmation received for your records.

Who needs Aetna Precertification Notification?

1. Patients who are seeking approval for certain medical procedures or services before receiving them.
2. Healthcare providers who are managing patient care and need to ensure services are covered by Aetna insurance.
3. Insurance coordinators or administrative staff involved in managing pre-authorization for patient care.

People Also Ask about

What is the number for Aetna precertification?

Please call the appropriate number below and select the option for precertification: 1-888-MD-AETNA (1-888-632-3862) (TTY: 711) for calls related to indemnity and PPO-based benefits plans. 1-800-624-0756 (TTY: 711) for calls related to HMO-based benefits plans.

Does EviCore work with Aetna?

Aetna has contracted with eviCore healthcare, an independent specialty medical benefits management company, to administer prior authorization for Enhanced Clinical Review program.

What insurance companies use EviCore?

You can submit claims online or resubmissions through ConnectCenter.

Does Aetna use eviCore for authorization?

Urgent Requests When service is required due to a medically urgent condition, the rendering (treating) provider/office must call eviCore healthcare at 888-622-7329 for authorization or use the web portal.

How long does it take to get credentialed with Aetna?

Once you complete the application, we will review your request and make a decision within 60 days.

For pdfFiller’s FAQs

What is Aetna Precertification Notification?

Aetna Precertification Notification is a process that involves obtaining prior authorization from Aetna for certain medical services and procedures to ensure they are medically necessary and covered under an individual's health plan.

Who is required to file Aetna Precertification Notification?

Healthcare providers or facilities rendering services that require precertification are responsible for filing the Aetna Precertification Notification on behalf of the patient.

How to fill out Aetna Precertification Notification?

To fill out the Aetna Precertification Notification, providers must complete a designated form that includes patient information, service details, and supporting clinical documentation to justify the request.

What is the purpose of Aetna Precertification Notification?

The purpose of Aetna Precertification Notification is to evaluate whether a medical service or procedure is necessary, appropriate, and in accordance with established medical guidelines before the service is provided.

What information must be reported on Aetna Precertification Notification?

The information that must be reported on Aetna Precertification Notification includes patient's name, date of birth, insurance information, service requested, provider details, and relevant clinical data supporting the request.