Aetna Provider Look Up

Aetna Provider Look UpYou can get a copy of the provider directory by mail. Then click the link for your health plan. Transforming health care, together. If your health benefit plan offers the Aetna Signature Administrators ® (ASA) PPO Network, use its online directory to search from approximately 1. Find A Doctor. DocFind, Aetna's online participating provider directory, allows you to locate physicians and other health care providers such as dentists, optometrists, hospitals and pharmacies. Workers' Comp Blog Custom networks help match injured workers with the ideal providers September 28, 2021 3 MIN READ. Find a doctor OR Members Log in to search for providers covered by your current plan. Prior Authorization may be required. Find an Aetna Dentist in Your Area. Provider Search is provided solely for the personal, non-commercial use of current and prospective Aetna members and providers. Availity allows providers to directly communicate with Aetna’s clinical and administrative staff through the Contact Us application. For 24-hour automated phone benefits and claims information, call us at 1. For more information. You will create a username and a password. Aetna and CVS Pharmacy® are part of the CVS Health family of companies. Aetna Better Health Participating Provider Prior Authorization Requirement Search Tool Participating Providers: To determine if prior authorization (PA) is required, enter up to. You can get a copy of the provider directories by mail. Or they can help you find a provider. Health Care Professionals. HMO and Medicare Advantage - 1-800-624-0756 (TTY: 711) Indemnity and PPO-based plans - 1-888-MD AETNA (1-888-632-3862) (TTY: 711) Voluntary plans - 1-888-772-9682 (TTY: 711) Worker's comp - 1-800-238-6288 (TTY: 711) ASA and. Get support to improve patient outcomes We’re here to help you focus on promoting wellness and improving patient outcomes. Find A Doctor Individual or family plans Provider search for Banner|Aetna Individual & Family Plans. The Aetna provider portal on Availity helps you spend less time on administration so you can focus more on patient care. Log in to find doctors, dentists, hospitals and other providers that accept your plan. Chlamydia screening: $25 gift card. Select Your State Additional Information Transplant Networks. This information is subject to change at any time. Still need help? Our dedicated representatives are here to answer all your questions. Search for providers or pharmacies based on your location. Where to find us Write us Aetna Inc. 2501 N Orange Avenue Suite 681 Orlando, FL 32804 407-821-3588 Call the Office Request Appointment AdventHealth Medical Group Accepts New Patients Offers Video Visits 4. ProPAT CPT Code Lookup : Aetna Better Health Aetna Better Health Participating Providers: To determine if prior authorization (PA) is required, enter up to six Current Procedural Terminology (CPT) or Healthcare Common Procedure Coding System (HCPCS) codes or a CPT group and select SEARCH. Your ID Card provided by your benefits administrator will have an Aetna Signature Administrators Logo and/or Aetna Dental Administrators logo if you have access to these networks. Just click the I'm not a robot checkbox Solve/complete the CAPTCHA, if presented The site will remember you the next time you visit (assuming your IP address doesn't change) Log in as usual 1 Click "I'm not a robot" below 2 Solve additional CAPTCHA 3 Continue browsing www. You also can look for more than 25 other types of health care providers, including pharmacies, marriage counselors, urgent care centers, acupuncturists, drug and alcohol. Aetna Dentist in Your Area. Aetna Inc. Aetna and MinuteClinic, LLC (which either operates or provides certain management support services to MinuteClinic-branded walk-in clinics) are part of the CVS Health ®. DocFind, Aetna's online participating provider directory, allows you to locate physicians and other health care providers such as dentists, optometrists, hospitals and pharmacies. You also can look for more than 25 other types of health care providers, including pharmacies, marriage counselors, urgent care centers, acupuncturists, drug and alcohol counselors, hospice care providers, dialysis centers, vision care providers, flu shot providers and physical therapists. Availity Essentials provider portal provides access to a robust self-service and online tools to allow more independent and remote providers to easily navigate Aetna’s policies, procedures, and requirements. Find a Doctor Find a pharmacy Guests Choose the type of plan you're interested in to search for health care providers that accept it. Provider information contained in this directory is gathered from information that we receive from our provider network and updated 6 days per week, excluding Sundays, or interruptions due to system maintenance, upgrades or unplanned outages. Please enter the provider's first and last name or the name of the facility. The tool allows you to: Search by doctors, facilities, services or behavioral health providers Locate a HAP-affiliated pharmacy Compare up to 3 doctors and create a "My Provider" list Get driving directions with Google Maps Find a doctor or facility And if you log into your online member account, you'll be able to:. What to Look for When Choosing a Provider Network March 15, 2022 5 MIN READ In a time when the industry is experiencing a provider shortage, choosing the right network can be a challenge. To reach us by phone, dial the toll-free number on the back of the patient’s ID card. You can further filter the search results by adding a specific dentist’s name and/or the type of dental specialist you wish to see. For information on Aetna Medicare Plan (HMO) (PPO) network providers in your area, just call us toll-free at 1-800-282-5366 (TTY: 711). Find a doctor OR Members Log in to search for providers covered by your current plan. Availity Provider Portal Login | Aetna It’s easy to work with us on Availity ® The Availity provider portal gives you the information, tools and resources you need to support the day-to-day needs of your patients and office. You can also get the info you need in a different language or format. Need help with Medicare enrollment? Call a licensed agent at 1-855-335-1407 (TTY: 711) , Monday to Friday, 8 AM to 8 PM. Welcome to Aetna's member website Remember user name (not recommended for public devices) Secure Log In Forgot user name? Forgot password? Log in tips First-time users Please register for an account. Banner|Aetna aims to offer access to more efficient and effective member care at a more affordable cost. Cervical cancer screening: $25 gift card. Lead screening in children: $25 gift card. If you’re a provider in Louisiana in the process of credentialing with us — and need to find out if a service requires prior authorization — call the precertification phone number on the member’s ID card. Use of any robot, spider or other intelligent agent to copy content from Provider Search, extract any portion of it or otherwise cause Provider Search to be burdened with unwarranted high access or transaction activity. Call your provider to check their office hours, as these can change. ABHFL Availity Provider Communication 05. Search for providers or pharmacies based on your location. FIND A SPECIALTY Office hours are 8 AM to 5 PM, Monday to Friday. Provider Directory. You can narrow your Aetna provider search by filtering provider characteristics, geographic location and best matched. Call your provider support team First, check out our FAQs. The Aetna provider portal on Availity helps you spend less time on administration so you can focus more on patient care. Provider TIN or NPI Patient ID or subscriber’s Social Security number Patient date of birth ADA code (if using Benefit Details) Fax number If you’re submitting online, you’ll need: Provider TIN and NPI Patient ID or subscriber’s Social Security number Patient date of birth NOTE: some vendors may require more information to process your request. Find a Provider | Aetna Medicaid Aetna Better Health® Find a provider Use the drop-down menu to find your state. We join the right medical professionals with the right technology, so members benefit from quality, personalized health care. Or they can help you find a provider. Availity Essentials provider portal provides access to a robust self-service and online tools to allow more independent and remote providers to easily navigate Aetna’s policies, procedures, and requirements. ZIP CODE Continue to 2023 plans Medicare Advantage HMO plans. Search result definitions:. 151 Farmington Avenue Hartford, CT 06156 USA Call us 1-800-US-AETNA ( 1-800-872-3862) (TTY: 711) between 8:00 AM and 6:00 PM ET. Find a Provider | Aetna Medicaid Aetna Better Health® Find a provider Use the drop-down menu to find your state. Just call Member Services at 1-855-232-3596 (TTY: 711) to learn more about these services. If you’re a provider in Louisiana in the process of credentialing with us — and need to find out if a service requires prior authorization — call the precertification phone number on the member’s ID card. Search for providers or pharmacies based on your location. Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). Provider search for Banner|Aetna Individual & Family Plans. ACA Plan Resources for Providers. Find A Doctor Individual or family plans Provider search for Banner|Aetna Individual & Family Plans. Provider Directory Our directory PDF (or printed directory) is updated monthly. Provider Center Online provider access to member health benefits and claims information With our growing provider base, members have better access to the best care available. Find a Medicare Doctor, Dentist, Pharmacy & more. Check participation status More coverage areas to serve your patients At this time, you can find us in select areas in the following states: Arizona (Banner|Aetna) California Delaware Florida Georgia Illinois Missouri Nevada New Jersey North Carolina Texas Virginia – Northern (Innovation Health®). Childhood immunizations (shots): $50 gift card. Medicare Advantage Plans (Part C). This is the phone number for the Corporate Contact Center. Or they can help you find a provider. Log in to find doctors, dentists, hospitals and other providers that accept your plan. Health Care Professionals Banner|Aetna works with doctors. Our plans are designed to deliver more personal, affordable and effective health care right in your community. Our directory PDF (or printed directory) is updated monthly. Find an Aetna Dentist in Your Area | Aetna Dentists Near Me Get 20% Off On All Dental Savings Plans! Use Code MOMDAY23 Find a Dentist In Your Area Looking for a local dentist? Enter a zip code to search for dental. Secure Member Log-in Welcome to Aetna's member website Remember user name (not recommended for public devices) Secure Log In Forgot user name? Forgot password? Log in tips First-time users Please register for an account. 1-888-632-3862 (TTY: 711) Call us Monday — Friday, 8 AM to 5 PM, local time. Plans through an employer Provider search for plans offered through your job or spouse’s/partner’s job. Find a provider Provider login Log in Register A total approach to your health and wellness Allina Health | Aetna is a unique partnership with a refreshing new approach to health care. From there, you can search for providers and specialists, like dentists, eye doctors, therapists, dermatologists and more. For information on Aetna Medicare Plan (HMO) (PPO) network providers in your area, just call us toll-free at 1-800-282-5366 (TTY: 711). DocFind, Aetna's online participating provider directory, allows you to locate physicians and other health care providers such as dentists, optometrists, hospitals and pharmacies. And many feature an affordable plan premium – sometimes as low as $0. Please don’t use the EDI process to make your request. 9 (265) View Profile Dean Mehdi Abtahi, MD Interventional Cardiology AdventHealth Medical Group Interventional Cardiology at Palm Coast 61 Memorial Medical Pkwy Suite 2811. Check Benefits & Eligibility. Find a Doctor, Dentist or Hospital. You get a one-stop portal to quickly perform key functions you do every day You can: Submit claims Get authorizations and referrals Check patient benefits and eligibility Upload medical records and supporting documentation. Important Information About Our Provider Directory. Find a doctor Find a pharmacy Guests Choose the type of plan you're interested in to search for health care providers that accept it. Each plan has its own provider network. * indicates required fields ZIP Code* Dentist Type Dentist Last Name Distance From ZIP 5 10 20 50 Find a Dentist. For your convenience, we recommend that you add your Member Services number to your phone. ProPAT CPT Code Lookup : Aetna Better Health. Health and Wellness Programs. Search by CPT code Use our search tool to see if precertification is required. The Provider Service Center helps with contracting, patient services, precertification and many other questions. Please enter the provider's first and last name or the name of the facility. The Provider Service Center helps with contracting, patient services, precertification and many other questions. Aetna">Precertification Lists. DocFind, Aetna's online participating provider directory, allows you to locate physicians and other health care providers such as dentists, optometrists, hospitals and pharmacies. Find a doctor OR Members Log in to search for providers covered by your current plan. Provider TIN or NPI Patient ID or subscriber’s Social Security number Patient date of birth ADA code (if using Benefit Details) Fax number If you’re submitting online, you’ll need: Provider TIN and NPI Patient ID or subscriber’s Social Security number Patient date of birth NOTE: some vendors may require more information to process your request. Plans through an employer Provider search for plans offered through your job or spouse’s/partner’s job. What to do if you get a bill from an out-of-network provider If an out-of-network provider sends you a bill, don’t pay it. You get a one-stop portal to quickly perform key functions you do every day. You also can look for more than 25 other types of health care providers, including pharmacies, marriage counselors, urgent care centers, acupuncturists, drug and alcohol counselors, hospice care providers, dialysis centers, vision care providers, flu shot providers and physical therapists. Aetna and MinuteClinic, LLC (which either operates or provides certain management support services to MinuteClinic-branded walk-in clinics) are both within the CVS Health family. To begin a provider search, click on the Enter DocFind button below, and follow the screen prompts. HMO and Medicare Advantage - 1-800-624-0756 (TTY: 711) Indemnity and PPO-based plans - 1-888-MD AETNA (1-888-632-3862) (TTY: 711) Voluntary plans - 1-888-772-9682 (TTY: 711) Worker's comp - 1-800-238-6288 (TTY: 711) ASA and Meritain - use phone number on member's ID card. Find a provider Provider login Log in Register A total approach to your health and wellness Allina Health | Aetna is a unique partnership with a refreshing new approach to health care. CHOOSE A REGION Provider directory (PDF) OR CHOOSE A COUNTY Provider directory (PDF) These directories of New Jersey’s network providers include: Health care providers. If your health benefit plan offers the Aetna Signature Administrators ® (ASA) PPO Network, use its online directory to search from approximately 1. Availity Provider Portal Login. COVID-19 testing and vaccines. Annual child and adolescent well-child visit: $25 gift card. Use of any robot, spider or other intelligent agent to copy content from Provider Search, extract any portion of it or otherwise cause Provider Search to be burdened with unwarranted high access or transaction activity. Availity Essentials provider portal provides access to a robust self-service and online tools to allow more independent and remote providers to easily navigate Aetna’s policies, procedures, and requirements. It’s easy to find out if you’re participating. Availity allows providers to directly communicate with Aetna’s clinical and administrative staff through the Contact Us application. We are committed to providing the best care for our members and the best provider services, including expedited claims turnaround times. Use of any robot, spider or other intelligent agent to copy content from Provider Search, extract any portion of it or otherwise cause Provider Search to be burdened with unwarranted high access or transaction activity. Search for providers or pharmacies based on your location. You can also get the materials you need in a. Cervical cancer screening: $25 gift card. Provider Search is provided solely for the personal, non-commercial use of current and prospective Aetna members and providers. Lookup : Aetna Better Health">ProPAT CPT Code Lookup : Aetna Better Health. 1-800-US-AETNA ( 1-800-872-3862) (TTY: 711) between 8:00 AM and 6:00 PM ET. Search By NPI or PIN : DocFind. Each plan has its own provider network. From there, you can search for providers and specialists, like dentists, eye doctors, therapists, dermatologists and more. Looking for care? Choose the right type of plan associated with your coverage below to search for health care providers that accept it. 1-800-US-AETNA ( 1-800-872-3862) (TTY: 711) between 8:00 AM and 6:00 PM ET. Before you start your Aetna provider search, select your state to see if your location is included in the Aetna Signature Administrators (ASA) PPO Network. We’re available 7 days a week, 8 AM to 8 PM. If you have any questions about authorization requirements or need help with the search tool, contact Aetna Better Health Provider Relations at 1-855-364-0974. You can also visit us on aetnamedicare. DocFind, Aetna's online participating provider directory, allows you to locate physicians and other health care providers such as dentists, optometrists, hospitals and. Log in to find doctors, dentists, hospitals and other providers that accept your plan. If you have any questions about authorization requirements or need help with the search tool, contact Aetna Better Health Provider Relations at 1-855-364-0974. Please enter required fields to verify eligibility. Provider Center Online provider access to member health benefits and claims information With our growing provider base, members have better access to the best care available. You can get a copy of the provider directory by mail. Access information quickly For 24-hour access to your patient’s health information, log in to your account. ALL inpatient confinements require PA and usually ALL services provided by non-participating providers require PA. Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). Choose the right type of plan associated with your coverage below to search for health care providers that accept it. Provider Search is provided solely for the personal, non-commercial use of current and prospective Aetna members and providers. Aetna Medicaid California">Health and Wellness Programs. com Additional security check is required. Find a Doctor, Dentist or Hospital | Aetna Find a doctor, dentist or hospital Already a member? Log in to find doctors, dentists, hospitals, and other providers that accept your plan. Banner|Aetna aims to offer access to more efficient and effective member care at a more affordable cost. The Aetna provider portal on Availity helps you spend less time on administration so you can focus more on patient care. For your convenience, we recommend that you add your Member Services number to your phone contacts. CHOOSE A REGION Provider directory (PDF) OR CHOOSE A COUNTY Provider directory (PDF). Find a Doctor Find a pharmacy Guests Choose the type of plan you're interested in to search for health care providers that accept it. Provider Directory. From there, you can search for providers and specialists, like dentists, eye doctors, therapists, dermatologists and more. Aetna and CVS Pharmacy® are part of the CVS Health family of companies. Find local care You can use these links to find in-network providers and pharmacies near you. You can also get the materials you need in a different language or format. Aetna Medicare">Find a Medicare Doctor, Dentist, Pharmacy & more. Find a Provider | Aetna Medicaid Aetna Better Health® Find a provider Use the drop-down menu to find your state. Plan from an employer Aetna Medicare plan Individual health plan Aetna Medicaid plan Individual dental plan. Search the AdventHealth Network of Physicians">Search the AdventHealth Network of Physicians. We're available 7 days a week, 8 AM to 8 PM. You can get a copy of the provider directory by mail. Log in to find a doctor Considering a new plan? See if your provider is within your network Scheduling Doctors Visits Transcript: Scheduling Doctor Visits Scheduling your annual doctor visits. Aetna Medicare Advantage plans take a total approach to health. Enter a zip code to search for dental care professionals in your area. Banner|Aetna Health Care Professionals Legal Notices: Health benefits & health insurance plans contain exclusions and limitations. Prior Authorization may be required. They do not have access to member accounts but they can provide Aetna Member Services contact information. Health benefits and health insurance plans contain exclusions and limitations. 4 million Aetna in-network providers and more than 6,000 hospitals nationwide. Terms of Use: By using DocFind, you acknowledge and agree that DocFind and all of the data contained in DocFind belongs exclusively to Aetna Inc. Our Part C plans often include prescription drug coverage and additional benefits. Please note: Results under the Aetna Dental Administrators search are only applicable if a dental plan is selected by your employer. Find a Doctor Find a pharmacy Guests Choose the type of plan you're interested in to search. We join the right medical professionals with the right technology, so. Just call Member Services at 1-866-827-2710 (TTY: 711) to learn more about these services. They do not have access to member accounts but they can provide Aetna Member Services contact information. Or they can help you find a provider.