Procedures, programs and drugs that require precertification
Breast reduction/mammoplasty* (19316, 19318, 19325, 19328, 19330) ... For the following services, providers call 1-866-752-7021 for precertification and fax applicable request forms to 1-888-267-3277, with the following exceptions: ... for more about preferred products or to find a precertification fax form. ...
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Procedures, programs, and drugs that require precertification
member.aetna.com• For precertification of pharmacy-covered specialty drugs (noted with*) when you are enrolled in a commercial plan, your provider will call 1-855-240-0535. Or, they can fax applicable request forms to 1-877-269-9916. • Your provider can use the drug-specific Specialty Medication Request Form located online under
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www.aetna.comOrthognathic surgery Reconstructive as: reconstruction/breast enlargement Shoulder 27. For more information, read all general precertification guidelines • Providers may submit most precertification requests electronically through the secure provider website or using your Electronic Medical Record (EMR) system portal.
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