Incomplete PA requests. And watch for training webinars in the coming months. No phone trees. We know PA requests are complex. PLEASE USE THIS FORM FOR AETNA MEMBERS THERAPY PROVIDER INFORMATION Instructions: 1. How to get help. They do not have access to member For assistance in registering for or accessing this site, please contact your Provider Relations representative at 1-855-364-0974. You can cancel your Aetna life insurance policy online or by phoneAetna customer service can be reached by calling 1-800-872-3862You will need to write an Aetna termination of coverage letter, which can easily be done If you need help understanding any of these guidelines, please call Member Services at 1-855-463-0933 (TTY: Prior authorization. Aetna Better Health Premier Plan MMAI require prior authorization for select acute outpatient services and planned hospital admissions. Prior authorization is not required for emergency services. If the member is covered, services and those requiring prior authorization change, will receive at least 60 days advance notice via provider newsletter, e-mail, updates to this website, letter (U.S. mail), telephone call or office visit. 1-800-US-AETNA ( 1-800-872-3862) (TTY: 711) between 8:00 AM and 6:00 PM ET. Fax: 1 (877) 269-9916; Next steps after a PA request. You can fax your authorization request to 1-855-320-8445. You can also submit service authorizations through our secure web portal. Subcontractors Aetna Better Health works with certain subcontractors to coordinate services that are provided by entities other than Aetna Better Health, such as transportation, vision or dental services. For help using Novologix, call them at 1-866-378-3791 or send them an email. Complete the appropriate authorization form (medical or pharmacy). You should send all faxes to 1-833-596-0339. ALWAYS verify member eligibility prior to providing services. Then, fax the form to 1-866-835-9589. Fax: 1-855-633-7673. You can fax your authorization request to 1-855-734-9389. It's easy to update a provider address, phone number, fax number or email address, or initiate an out-of-state move or a change in provider group. Complete the Texas standard prior authorization request form (PDF) . For assistance in registering for or accessing the secure provider website, please contact your provider relations representative at 1-855-676-5772 (TTY 711 ). Get information about Aetnas precertification requirements, including precertification lists and criteria for patient insurance preauthorization. You can also fax your For Part D prior authorization forms, Print an authorization appeal form Fax: 1-724-741-4953 Mail: Aetna Medicare Part C Appeals PO Box 14067 Lexington, KY 40512 If you need a faster (expedited) decision, you This is the phone number for the Corporate Contact Center. Aetna Better Health Premier Plan MMAI works with certain subcontractors to coordinate services that are provided by entities other than the health plan, such as transportation, vision or dental Over-the-counter (OTC) COVID-19 at-home test kits. The form must be completed by the medical staff and submitted to Aetna in the proper state jurisdiction. We have a new central fax number for utilization management and inpatient concurrent review. By fax. through our secure provider website or by Requesting authorizations on Availity is a simple two-step process. New federal guidelines let you get reimbursement for eligible over-the-counter COVID-19 tests purchased January 15, 2022 or later. A synopsis of the criteria is available to Providers and Members on request and free of charge by calling myNEXUS at 833-585-6262 or by emailing provider_network@myNEXUScare.com. Heres how it works: Submit your initial request on Availity with the Authorization (Precertification) Add transaction. Call us. Medicare Part D. Phone: 1-855-344-0930. LETs GET STARTED. Aetna providers follow prior authorization guidelines. Use this form when requesting prior authorization of therapy services for 1 - Call us. 1-800-US-AETNA ( 1-800-872-3862) (TTY: 711) between 8:00 AM and 6:00 PM ET. This is the phone number for the Corporate Contact Center. They do not have access to member accounts but they can provide Aetna Member Services contact information. For your convenience, we recommend that you add your Member Services number to your phone contacts. For help using Novologix on NaviNet, (Exception: Some members have plans with a If you wish to request a Medicare Part Determination (Prior Authorization or Exception request), please see your Tips for requesting authorizations. Prior authorization is not required for emergency services. Attach supporting Aetna Better Health of Kansas requires prior authorization for select, acute outpatient services and planned hospital admissions. That's why we have a team of experts and a variety of help resources to make requests faster and easier.