How To Register As An Out Of Network Provider With Aetna

Ready to Join the Aetna Network?

Here'south how it works:

Stride ane

First, you tin can asking participation in the Aetna network past completing our online request for participation form.

Step two

Side by side, nosotros'll evaluate the current need to service our membership in your expanse.  Nosotros don't desire you to wait, so nosotros'll brand certain to let you lot know within 45 days whether you're eligible for participation and brainstorm the contracting process.

Pace iii

After contracting, and if Credentialing applies,  we'll go your credentialing application from the Council for Affordable Quality Healthcare (CAQH) ProView to begin the credentialing process. Make sure y'all designate Aetna equally an authorized wellness plan so we tin access your application.

Pace 4

When you lot complete credentialing, your contract will be finalized and you lot'll receive welcome materials to get up and running.

Ready to become started?

Choose the category on the left that applies to you. Then follow the prompts to complete your request.

Medical Request for Participation

Please consummate this form if you're interested in joining Aetna's network and you are a medical health care professional, physician or non-physician.

Helpful Tips to consider before completing request for participation:

• If you are a midlevel provider consummate the "medical request for participation" form.   Under the "specialty" question on the course, please refer to the instructions for non-physicians to select their "provider type" from the pull downwards carte du jour eastward.g. Midwife, Nurse Practitioner, Physician Assistant.
• If you have multiple Revenue enhancement ID's, you lot only need to consummate this class in one case for your primary service location to initiate your contracting and credentialing procedure.
• If you're already in our network, you can't use this grade to update your Tax ID. In-Network providers can update their Tax ID by clicking on Contact and so selecting Practice changes/Provider termination from the list.
• If you're a Behavioral Health professional person, including those joining a medical group, you lot should click on the Behavioral Health link and complete the Behavioral Wellness asking for participation form.
• If you're a hospital based provider joining an already contracted group, yous don't need to complete the application independently.

If y'all demand more information about our application and credentialing process, utilize the link below. You'll also find information on Quango for Affordable Quality Healthcare's (CAQH) ProView® and Medversant/ProviderSource™.

Please ensure that your CAQH ProView or Medversant/ProviderSource™ applications are complete to avoid delays in the Credentialing procedure.

Information almost our application and credentialing process >

As a practitioner, yous have the correct to correct whatsoever information obtained during the credentialing procedure by working straight with the reporting entities.

Dental Request for Participation

Dentist - Dental Maintenance Arrangement (DMO^®) and managed dental products and/or Preferred Provider Organization (PPO) plans* applicationrequest.

Please consummate this course below to go an application to join Aetna's Network.

*In Texas, the Preferred Provider Organization (PPO) is known as the Participating Dental Network (PDN).

Behavioral Health Request

for Participation

Helpful Tips to consider before completing request for participation:

• If you're a Behavioral Health professional person, including those joining a medical group, you should complete this Behavioral Health Asking for Participation grade.
• If y'all need more than information almost our application and credentialing process, employ the link below. You volition also find the information on Council for Affordable Quality Healthcare (CAQH) ProView ^® and Medversant/ProviderSource™.
  

Please ensure that your CAQH ProView or Medversant/ProviderSource™ applications are complete to avoid delays in the Credentialing process.

Information nigh our application and credentialing process >

As a practitioner, you take the right to correct any information obtained during the credentialing procedure by working directly with the reporting entities.

Facility Request for Participation

Want to contract with the states? Consummate this form if you lot are a hospital, facility, or ancillary provider only.

Individual physicians/providers (type 1) or doc/provider groups should complete an NPI type 1 individual awarding.

Note: A split application needs to be submitted for each physician/provider in your grouping.

Complete an NPI type1 individual awarding >

Questions almost private doctor/provider or doc/provider groups application process?

Read our joining Network FAQs >

Once yous complete the application, we will review your asking and brand a decision within 60 days.

• If the console is open and we intend to pursue a contract, an Aetna Network Manager will contact you lot to start the formal credentialing procedure.
• If the panel is non open or we do not intend to pursue a contract, you will be notified by a letter of the alphabet or e-mail, that the request has been denied.
• If this is an NPI type 1 physician/provider group request, we will automatically deny the application and you will be notified of this action by alphabetic character or email.

*Do y'all confirm this is a blazon 2 facility NPI?

If this is a type i NPI or physician/provider group, you must consummate a blazon ane application request grade.

Other networks you can bring together

Pharmacy and Medicare Function D.

We welcome pharmacies to bring together our retail networks.

Other Networks

You can also join Networks for Coventry Workers' Compensation in NY and First Health.

Source: https://www.aetna.com/health-care-professionals/join-the-aetna-network.html

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