Primary care providers (PCP) or treating practitioner/providers are responsible for initiating and coordinating an enrollees request for authorization. However, specialists and other practitioners/providers may need to contact the Prior Authorization Department directly to obtain or confirm a prior authorization.
Providers, you can submit a grievance or an appeal if you aren't satisfied with our services. Additionally, you may submit a grievance or an appeal on behalf of an enrollee. Learn more about our grievances and appeals and other processes including expedited appeals, state fair hearings and more.
Find more information about Aetna Medicare HIDE (HMO D-SNP) and your role as a provider.
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