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Insurance companies such since Aetna require medical suppliers to complete a procedure recognized as credentialing to be accepted seeing that a network provider. Patients usually don't see exclusive out-of-network supplier anticipated to the increased out-about-pocket price to the patient and find an with-network supplier instead. As an on-network option, the provider may potentially increase the number of patients he notices and therefore increase his revenue. The credentialing process entails the medical provider to full an application and be approved.

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Trouble: Moderately Easy

1 Phone Aetna, as about November 2010, in:

800-353-1232 if you're some medical professional; 800-999-5698 if you're a behavioral health professional; or 800-451-7715 if you're a dental provider.

Ask each questions you may well have almost the credential process and ask for an application to be sent to you. Visit Aetna's internet site and locate and click on the "Application Request Form" link (see Resources). Full the application request style and submit it to request that an application be mailed to you.

2 Total the application to enroll whereas an Aetna provider. You're asked to provide information on your credentials. Contain details of your schooling and knowledge. All Aetna providers' information is confirmed and approved prior to acceptance inside Aetna.

3 Wait to hear from the Aetna credentialing department. Once the application is processed, you receive written observe with an approval or denial. If you maintain every worries or issues for the credentialing department, you can contact the department with 800-353-1232 for medical professionals, or 800-999-5698 for behavioral health pros.

References

Aetna: Credentialing and Becoming an Aetna Participating Provider. health insurance.

Assets

Aetna: How to Apply

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