Welcome to your go-to guide. - Health Insurance Plans | …

Find out how members can save on lab costs - Aetna

• Accu Reference Medical Laboratory, LLC • Advanced Clinical Laboratory Solutions, Inc. • Alere Toxicology • Ameritox • ARL/Labsouth, Inc.

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Coverage of Experimental and Investigational …

Coverage of Experimental and Investigational Procedures Policy Aetna covers experimental or investigational technologies (i.e., …

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Aetna OfficeLink Updates - All regions September …

September 2017 Aetna OfficeLink Updates™ All regions Inside this issue Updates to our precertification list 2 Clinical payment, coding and policy updates 3 – 4

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How to use electronic referrals - Aetna

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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PLAN DESIGN AND BENEFITS PROVIDED BY …

Custom Medicare HMO Open Access Plan State of New Jersey PLAN DESIGN AND BENEFITS Aetna Medicare SM Plan (HMO) PROVIDED BY AETNA HEALTH INC Arizona, California, Connecticut, Delaware, District of Columbia, Florida, Georgia, Illinois, Maryland, Maine, New

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Great Savings on Hearing Aids - Aetna

Great Savings on Hearing Aids! Hearing loss is the third most prevalent medical condition among Americans over age 65 after arthritis and hypertension.

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You don’t join us, we join youSM - Aetna

Our Code of Conduct is grounded in and reflects the principles at the heart of The Aetna Way. The Code guides our compliance with the rules and regulations that govern our business throughout the world.

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Volume 10, Issue 1 Aetna OfficeLink Updates

Quality health plans & benefits Healthier living Financial well-being Intelligent solutions March 2013 • Volume 10, Issue 1 Mid-America Region

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Ptosis Surgery Precertification Information …

PCFX . Ptosis Surgery Precertification Information Request Form . About this form . You can’t use this form to initiate a precertification request.

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A quick reference guide for health care …

Quality health plans & benefits Healthier living Financial well-being Intelligent solutions. A quick reference guide for health care professionals

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DENIAL REASON CODE WITHDRAWAL - New York State …

worker can give you or call MA help line at 1, 800- -541-2831. If you want to apply only for the Medicare Savings Program (MSP), you must apply with Form DOH-4328, which you rworker can provide to you. If you have an immediate need for personal care services, you should apply for MA separately using the DOH- 4220 MA application form.

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Healthy Blue Provider Manual

Medicaid BNC-PM-0002-21 Healthy Blue Provider Manual Provider Services: 844-594-5072 https://provider.healthybluenc.com

Women’s Health Manual - Health Insurance Plans | Aetna

health programs and policies. 22.20.800.1 B (4/19) aetna.com . ... • Aetna BRCA Precertification Information Request Form — There are two ways to get the form: - Visit the “Providers” section at aetna.com. Then ... Ob/Gyn office without a referral or prior authorization. If the Ob/Gyn doesn’t provide office-based gynecology

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IMPACTS OF PRIOR AUTHORIZATION ON HEALTH CARE …

1.2 The Prior Authorization Process 4 1.3 Prior Authorization in Medicare and Medicaid 5 2 EVIDENCE OF IMPACTS ON HEALTH CARE USE AND SPENDING 6 3 EVIDENCE OF BURDENS OF PRIOR AUTHORIZATION 9 3.1 Provider Time and Operating Costs 9 3.2 Delays in Patients Receiving Care 9 3.3 Poorer Health Outcomes 9 4 STRATEGIES TO IMPROVE …

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