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State Street, Chicago, Illinois Applications are available at the American Medical Association Web site, www. Go to the American Medical Association Web site. Department of Defense procurements and the limited rights restrictions of FAR CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to the implied warranties of merchantability and fitness for a particular purpose.

No fee schedules, basic unit, relative values or related listings are included in CPT. The responsibility for the content of this product is with Aetna, Inc. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this product.

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The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. This information is neither an offer of coverage nor medical advice. It is only a partial, general description of plan or program benefits and does not constitute a contract. In case of a conflict between your plan documents and this information, the plan documents will govern.

Working with us. Join our network. Confirm patient eligibility Precertification lists and CPT code search. Existing health care professionals. Availity provider portal Update your data Utilization management Provider referral directory.

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Resources Clinical policy bulletins Clinical policy bulletins Clinical policy bulletin overview Medical clinical policy bulletins Dental clinical policy bulletins Pharmacy clinical policy bulletins. Education, trainings and manuals Overview Educational webinars Provider manuals Behavioral health trainings. Regulations State regulations Federal regulations. Forms for health care professionals. Find all the forms you need Find forms and applications for health care professionals and patients, all in one place.

Read More Read Less. Address, phone number and practice changes. Behavioral health precertification. Coordination of Benefits COB. Medicaid disputes and appeals. Medical precertification. Medicare disputes and appeals. Medicare precertification. Medicare medical specialty drug and Part B step therapy precertification. Network application requests. Non-Medicare dispute and appeals.

Oral Maxillofacial Surgery. Patient specific. Part D forms: Please see the Medicare section of this page. Physician communications. Practice changes and provider termination. Note: This form will also update your information on our online provider directory.

Specialty Pharmacy precertification commercial. State-specific forms. Legal notices 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.

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You are now leaving the Aetna Medicare website. Error or missing data. Please check your entries for an error message. This search uses the five-tier version of this plan Each main plan type has more than one subtype. I Accept. I accept. The term precertification here means the utilization review process to determine whether the requested service, procedure, prescription drug or medical device meets the company's clinical criteria for coverage.

It does not mean precertification as defined by Texas law, as a reliable representation of payment of care or services to fully insured HMO and PPO members. Not all plans are offered in all service areas.

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