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Join our network form

Thank you for your interest in participating as an Aetna Better Health® of Illinois provider.

Provider intake questions

Please answer these questions in order for us to have a better understanding of what services you provide and your location, as well as other pertinent information that’s needed for the contracting process. 

 

Aetna Better Health® of Illinois subcontracts certain services. To join their network, please review the information below:

 

DentaQuest for Dental

Phone: 1-800-508-6780

Website: DentaQuest.com

 

March Vision for Vision

Optometry claims go to March Vision

Ophthalmology claims go to Aetna Better Health of Illinois

Enroll contact: MarchVisionCare.com/becomeprovider.aspx or call toll-free at 844-456-2724

 

Modivcare for non-emergency medical transportation (NEMT) - 866-329-4701

Website: https://www.modivcare.com/

 

 

*Select contract type
 

If you are adding a new practitioner to an existing group, please email the Provider Relations team. 

 

Provider information

Include the official company name and, if you use one, the "doing business as" (DBA) name.
*Are you a part of a medical group?
Please follow this format: XXXXXXXXX
Your National Provider Identifier number
If you do not have a Medicaid number, put NA.
Example: 12345

 

Primary contact person 

Please follow this format: XXXXXXXXXX
Would you like to receive emails from Aetna Better Health of Illinois?

Have any questions?

 

If you’re in need of additional information, please contact Aetna Better Health of Illinois at 1-866-329-4701 (TTY: 711).

*This is a required field.  

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