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How to fill out 9012013 prior authorization aetna

How to fill out 9012013 prior authorization Aetna?

1. Start by gathering all necessary information and documents required for the prior authorization process. This may include the patient's personal information, medical history, diagnosis, prescribed medications, and supporting documentation from the healthcare provider.
2. Access the Aetna website or contact their customer service to obtain the specific form needed for the prior authorization. Ensure that you have the most up-to-date version of the form.
3. Begin filling out the form by providing the patient's personal information accurately, including their name, date of birth, contact information, and Aetna insurance policy details.
4. Enter the healthcare provider's information, including their name, address, phone number, and any other relevant details.
5. Specify the type of service or medication for which you are seeking prior authorization. Provide all necessary information about the medication or treatment, such as its name, dosage, frequency, and duration.
6. Clearly state the reason why prior authorization is being requested. This may include the patient's medical condition, the lack of effectiveness of previous treatments, or the necessity of a specific medication for their condition.
7. Attach any supporting documentation required by Aetna for the prior authorization process. This may include medical records, test results, or letters from healthcare providers explaining the need for the requested service or medication.
8. Review the completed form thoroughly to ensure accuracy and completeness. Check for any missing or incomplete information and make any necessary additions or corrections.
9. Submit the filled-out prior authorization form to Aetna through the designated channels. This may include mailing the form, submitting it online through the Aetna website, or sending it via fax, as specified by Aetna's guidelines.
10. Keep a copy of the completed form for your records and take note of any confirmation or reference numbers provided by Aetna. This will help in tracking the progress of the prior authorization request.

Who needs 9012013 prior authorization Aetna?

1. Patients who require specific medical treatments, medications, or services that are subject to prior authorization by Aetna may need to complete the 9012013 prior authorization form.
2. Healthcare providers who are prescribing or recommending services, medications, or treatments that are not automatically covered by Aetna or that may require additional documentation or review may also need to complete the prior authorization process using the 9012013 form.
3. Individuals who have Aetna insurance and want to ensure that a particular service or medication is covered by their plan before proceeding with it should consider initiating the 9012013 prior authorization process. This way, they can confirm coverage and avoid unexpected out-of-pocket expenses.

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