Transcription of How to use electronic referrals - Aetna
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How to use electronic referrals - Aetna
Quality health plans & benefitsHealthier livingFinancial well-beingIntelligent solutionsReference guideHow to use Aetna s electronic referrals B (11/16) can request an electronic referral in real time for any plan that requires a referral. If you re part of an independent practice association (IPA), you should follow current referral procedures for members in health maintenance organization (HMO) a plan requires a referral, the primary care physician (PCP) should request one electronically for all specialist visits, including visits in a hospital aren t required for direct access services, such as routine eye care and ob/gyn services. Refer to the Office Manual for Health Care Professionals located within the Health Care Professionals pages on for additional direct-access specialties in your referral isn t a substitute for a service that requires precertification.
Specialty family Aetna specialties Taxonomy code GASTROENTEROLOGY Colon and rectal surgery Gastroenterology Gastroenterology (pediatric) Hepatology Proctology 207RG0100X GENERAL PRACTICE Adolescent medicine Developmental medicine
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