
Aetna Referral Form


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Quick guide on how to complete aetna reconsideration form
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People also ask aetna hmo referral form pdf
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How long does Aetna take to approve prior authorization?
We'll let you and your doctor know what we decide via letter. The review process can take up to two weeks.
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How to get Aetna 1095 form?
You can receive a copy of your Form 1095-B by going out to the Aetna Member Website in the “Message Center” under the “Letters and Communications” tab or by sending us a request at Aetna PO BOX 981206, El Paso, TX 79998-1206.
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Does eviCore work with Aetna?
The eviCore Aetna provider resource website contains web registration and submission information, comprehensive CPT code list, FAQ documents and other important resources that are kept up-to-date for your convenience: https://.evicore.com/implementation/healthplan /aetna.
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Does Aetna require authorization?
Some tests, procedures and medications need approval to be covered. Most times, this is for treatment that's high cost or complex. Your doctor can send us a request to get that approval. This is called prior authorization.
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What insurance companies use eviCore?
EviCore today issues recommendations for imaging, oncology, cardiology, gastroenterology, sleep problems and many other fields. It works with more than 100 insurers across the country, including industry titans such as UnitedHealthcare, Aetna and Blue Cross Blue Shield and some Medicare and Medicaid contractors.
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Does Aetna Medicare PPO require referrals?
Preferred provider organization (PPO) plans let you choose any provider who accepts Medicare and our plan terms. You don't need a referral from a primary care provider for specialist or hospital visits. However, using providers in your plan's network may cost less.
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How long are Aetna referrals good for?
Referrals for Managed Choice® plan and Elect Choice® plan members are valid for one year from the original issue date. HMO referrals are valid for 90 days from the date entered. The first visit must be used within 90 days.
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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.
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