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Aetna GR-68744 2019 free printable template

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Aetna Recertification Notification 503 Support Lane, Orlando, FL 32809 Phone: 18667527021 FAX: 18882673277Viscosupplementation Injectable Medication Recertification Request Page 1 of 2 (All fields
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Obtain the Aetna GR-68744 form either online or from your employer.
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Read the instructions carefully to understand the requirements.
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Fill in your personal information including name, address, and contact details.
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Provide the details of your health coverage needs, such as type of insurance and duration.
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Complete any necessary sections regarding dependents, if applicable.
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Review the form to ensure all information is accurate and complete.
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Sign the form where indicated to certify the information is correct.
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Submit the completed form to your employer or designated Aetna representative.

Who needs Aetna GR-68744?

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Employees seeking health insurance coverage through their employer.
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Individuals needing to enroll in or update their health insurance plan with Aetna.
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Any member of a group policy holder looking for specific coverage under Aetna's plans.
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People Also Ask about

Viscosupplementation of joints other than the knee(s) will be considered not reasonable and necessary and will not be subject to coverage. Imaging procedures performed routinely for the purpose of visualization of the knee to provide guidance for needle placement will not be covered.
Yes, Aetna's CPB for this states that ultrasound-guided injection is not covered since they consider it experimental.
Aetna considers intra-articular glucocorticoid injections medically necessary for the treatment of knee OA.
Brand names of viscosupplementation solutions include Hylagan, Orthovisc, Euflexxa, Supartz, and Synvisc – all of which we use at Peak Health and Wellness.
Aetna considers viscosupplementation experimental and investigational for the following indications (not an all-inclusive list) because the effectiveness of viscosupplementation for these indications has not been established: Chondromalacia patellae. Facet joint arthropathy.

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Aetna GR-68744 is a specific group health insurance plan that provides medical benefits and coverage to eligible members.
Employers or organizations that provide group health insurance coverage to their employees are required to file Aetna GR-68744.
To fill out Aetna GR-68744, providers should follow the instructions provided by Aetna, which typically include entering member details, plan coverage options, and any claims-related information.
The purpose of Aetna GR-68744 is to facilitate the administration of group health insurance claims and ensure compliance with regulatory requirements.
Aetna GR-68744 must report information such as the member's identification details, type of coverage, claim details, and any relevant medical information related to the treatment or services provided.
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