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This document is a request form for precertification of injectable medications for female infertility treatment, outlining the necessary patient, insurance, prescriber, dispensing provider, product,
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How to fill out aetna precertification notification
How to fill out Aetna Precertification Notification
01
Gather the necessary patient information, including name, date of birth, and insurance details.
02
Identify the specific procedure or service that requires precertification.
03
Consult Aetna's guidelines to determine if the requested service needs precertification.
04
Complete the Aetna Precertification Notification form with accurate information about the patient's medical condition and the requested service.
05
Submit the completed form through the appropriate channel, such as online, by fax, or by mail.
06
Follow up to confirm receipt of the precertification request and to obtain the authorization number if approved.
Who needs Aetna Precertification Notification?
01
Healthcare providers submitting requests for specific procedures or services on behalf of their patients.
02
Patients whose planned medical services or treatments require prior authorization from Aetna before they are performed.
03
Insurance coordinators or office staff responsible for handling insurance claims and precertification processes.
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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.
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What is Aetna Precertification Notification?
Aetna Precertification Notification is a process through which healthcare providers inform Aetna about proposed services or procedures that require prior approval before they are performed. This helps ensure that the services are medically necessary and covered under the patient's health plan.
Who is required to file Aetna Precertification Notification?
Healthcare providers or facilities that are planning to perform certain services or procedures that require prior authorization are required to file Aetna Precertification Notification.
How to fill out Aetna Precertification Notification?
To fill out Aetna Precertification Notification, providers need to complete the designated form by providing patient information, details of the proposed service or procedure, clinical information supporting the medical necessity, and any other relevant documentation as required by Aetna.
What is the purpose of Aetna Precertification Notification?
The purpose of Aetna Precertification Notification is to assess the medical necessity and appropriateness of proposed healthcare services before they are rendered, thereby ensuring that the healthcare plans cover them and promoting effective resource utilization.
What information must be reported on Aetna Precertification Notification?
Information that must be reported on Aetna Precertification Notification includes the patient's demographic details, the specific procedure or service being requested, the provider's information, clinical justification for the service, and any pertinent medical history.
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