Transcription of PROVIDER DISCLOSURE FORM - Aetna
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PROVIDER DISCLOSURE FORM - Aetna
PROVIDER DISCLOSURE form DOING BUSINESS WITH Aetna IN CALIFORNIA This statement contains information regarding certain regulatory notice requirements, Claim Settlement procedures, the PROVIDER Dispute Resolution process, and Aetna Payment Policies. If you have any questions, please contact our PROVIDER Service Center at the following: For Medicare HMO plans only: 1- 800-624-0756; For all other plans (PPO and Commercial HMO plans): 1 -888MD- Aetna (632-3862); Or visit the Aetna website at NOTICE California Notification Timely Access to Care Requirements under Sections of the California Insurance Code and of the Health and Safety Code California regulations require that each health plan s contracted PROVIDER network has adequate capacity and availability of licensed health care providers to offer enrollees timely access to
PROVIDER DISCLOSURE FORM DOING BUSINESS WITH AETNA IN CALIFORNIA This statement contains information regarding certain notice requirements, Claim Settlement procedures, the Provider
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