Heres how it works: Submit your initial request on Availity with the Authorization (Precertification) Add transaction. For help using Novologix, call them at 1-866-378-3791 or send them an email. 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. The form must be completed by the medical staff and submitted to Aetna in the proper state jurisdiction. 1 - For assistance in registering for or accessing the secure provider website, please contact your provider relations representative at 1-855-676-5772 (TTY 711 ). If you need help understanding any of these guidelines, please call Member Services at 1-855-463-0933 (TTY: For help using Novologix on NaviNet, (Exception: Some members have plans with a That's why we have a team of experts and a variety of help resources to make requests faster and easier. 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 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. We have a new central fax number for utilization management and inpatient concurrent review. Call us. Medicare Part D. Phone: 1-855-344-0930. And watch for training webinars in the coming months. Complete the appropriate authorization form (medical or pharmacy). Complete the Texas standard prior authorization request form (PDF) . Tips for requesting authorizations. 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. 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 Aetna providers follow prior authorization guidelines. They do not have access to member You can also fax your 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. No phone trees. How to get help. For Part D prior authorization forms, Aetna Better Health of Kansas requires prior authorization for select, acute outpatient services and planned hospital admissions. 1-800-US-AETNA ( 1-800-872-3862) (TTY: 711) between 8:00 AM and 6:00 PM ET. You can fax your authorization request to 1-855-734-9389. By fax. For assistance in registering for or accessing this site, please contact your Provider Relations representative at 1-855-364-0974. PLEASE USE THIS FORM FOR AETNA MEMBERS THERAPY PROVIDER INFORMATION Instructions: 1. ALWAYS verify member eligibility prior to providing services. Then, fax the form to 1-866-835-9589. You should send all faxes to 1-833-596-0339. We know PA requests are complex. Fax: 1 (877) 269-9916; Requesting authorizations on Availity is a simple two-step process. LETs GET STARTED. 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. New federal guidelines let you get reimbursement for eligible over-the-counter COVID-19 tests purchased January 15, 2022 or later. Use this form when requesting prior authorization of therapy services for Over-the-counter (OTC) COVID-19 at-home test kits. Incomplete PA requests. This is the phone number for the Corporate Contact Center. Attach supporting through our secure provider website or by If you wish to request a Medicare Part Determination (Prior Authorization or Exception request), please see your Fax: 1-855-633-7673. 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 Get information about Aetnas precertification requirements, including precertification lists and criteria for patient insurance preauthorization. Next steps after a PA request. Prior authorization is not required for emergency services.

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