OH Aetna Better Health Prior Authorization Form 2022-2025 free printable template

Aetna Better Health of Ohio 7400 West Campus Road New Albany, OH 43054Prior Authorization Form Phone: 18553640974, TTY: 711 Fax: 18557349389 PLEASE NOTE: Our free provider portal (Availity Essentials)

How to fill out OH Aetna Better Health Prior Authorization

How to fill out OH Aetna Better Health Prior Authorization Form

1. Obtain the OH Aetna Better Health Prior Authorization Form from the Aetna website or your healthcare provider.
2. Fill in the patient's demographic information, including name, date of birth, and insurance ID number.
3. Provide details of the healthcare provider submitting the request, including their name, contact information, and office address.
4. Clearly state the medical procedure or service requiring prior authorization.
5. Include relevant clinical information, including diagnosis codes and any supporting documents (such as medical records).
6. Indicate the urgency of the request (standard or expedited).
7. Review the form for completeness and accuracy before submission.
8. Submit the completed form via the specified method (fax, online portal, or mail) according to Aetna's instructions.
9. Track the authorization status through the portal or by contacting customer service for updates.

Who needs OH Aetna Better Health Prior Authorization Form?

1. Patients seeking specific medical treatments, procedures, or medications covered by Aetna Better Health.
2. Healthcare providers that are required to obtain prior authorization to ensure that services are covered by the patient's insurance plan.
3. Specialists referring patients for advanced procedures that necessitate approval before they are performed.

People Also Ask about

What is the phone number for Aetna Medicaid in Ohio?

Our Member Services phone number is 1-855-364-0974 (TTY: 711), 24 hours a day, seven days a week. You can also write to us at the address below.

Does Aetna work in Ohio?

Welcome, providers! We see you as our ally in providing high-quality health care services to our members in the Aetna Better Health of Ohio, a MyCare Ohio plan. We are a Medicare-Medicaid plan for dual-eligible members.

How do I become a provider for Aetna Ohio?

Fill out the provider application or the facility application if you would like to join our network. You may fax the application back to us at 1-855-826-3809 for more information. To join the Aetna Better Health of Ohio network, please contact Provider Services for more information.

What is the phone number for Aetna Better Health Ohio Medicaid provider?

Call Member Services/Provider Services at 1-855-364-0974 (TTY: 711), 24 hours a day, seven days a week (and during all holidays). The call is free.

What can I use my Aetna debit card for?

You can use your card or download the free Healthy Benefits Plus app to buy approved foods like fruits, veggies, dairy products, meats and seafood, and pantry staples. As an Aetna D-SNP member, you also have a personal care team. They are there to make getting the care you need easier.

Who is eligible for services through Aetna Better Health of Ohio?

Aetna Better Health of Ohio, a MyCare Ohio plan, is for adults age 18 or older, who are eligible for Medicare and Medicaid. The health plan coordinates many aspects of your health care, so that we can meet your needs and goals.

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What is OH Aetna Better Health Prior Authorization Form?

The OH Aetna Better Health Prior Authorization Form is a document required by Aetna Better Health of Ohio for obtaining approval before certain medical services, treatments, or medications are provided to members.

Who is required to file OH Aetna Better Health Prior Authorization Form?

Healthcare providers and professionals who intend to deliver services, treatments, or medications that require prior authorization must file the OH Aetna Better Health Prior Authorization Form.

How to fill out OH Aetna Better Health Prior Authorization Form?

To fill out the OH Aetna Better Health Prior Authorization Form, medical providers should provide patient information, details of the requested service, clinical information supporting the request, and any relevant medical history required by Aetna.

What is the purpose of OH Aetna Better Health Prior Authorization Form?

The purpose of the OH Aetna Better Health Prior Authorization Form is to ensure that the requested medical services or treatments are medically necessary and to facilitate a review process by Aetna Better Health before the services are administered.

What information must be reported on OH Aetna Better Health Prior Authorization Form?

The information that must be reported on the OH Aetna Better Health Prior Authorization Form includes patient demographics, provider information, explanation of the requested service, diagnosis codes, CPT/HCPCS codes, and relevant clinical data justifying the need for the service.