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Quality health plans & benefits Healthier living Financial wellbeing Intelligent solutions Aetna Participating Provider Recertification List Effective July 1, 2013, Applies to: Aetna Choice POS, Aetna
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What is aetna participating provider precertification?
Aetna participating provider precertification is the process of obtaining approval from Aetna before a medical service or procedure is performed.
Who is required to file aetna participating provider precertification?
Healthcare providers who are part of Aetna's network are required to file participating provider precertification.
How to fill out aetna participating provider precertification?
Aetna participating provider precertification can be filled out online through Aetna's provider portal or submitted via fax or mail using the precertification form.
What is the purpose of aetna participating provider precertification?
The purpose of aetna participating provider precertification is to ensure that medical services and procedures meet Aetna's clinical guidelines and are medically necessary.
What information must be reported on aetna participating provider precertification?
Information such as patient demographics, provider information, diagnosis, treatment plan, and supporting documentation must be reported on aetna participating provider precertification.
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