Reminder: Aetna Better Health of Virginia acquired Coventry Health Care, Inc., (previously Southern Health) and MH Net. Therefore, if you are contracted with Coventry Health Care, Inc., Southern Health or MH Net, these are valid contracts for Aetna Better Health of Virginia participation. If you are holding one of these older contracts, please contact our Network Management team so we can update you to a current Aetna Better Health of Virginia contract document. Please email: NetworkDevelopment.email@example.com. The Medallion 4.0 transition of care period for Aetna Better Health of Virginia is 180 days from a member’s effective date. Authorization numbers are not needed from participating/non-participating providers billing non-pharmacy claims during a member's Medallion 4.0 transition of care period.
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View our latest Provider Newsletter
Our Provider Newsletter contains important updates and information about our health plan. Check out our most recent Provider Newsletter to stay up to date with us!
Review our Quick Reference Guide
Our Quick Reference Guide provides a detailed list of all of our key contacts. It is a vital resource for when you need to contact Aetna Better Health of Virginia. It contains several phone numbers, email addresses, and mailing addresses for various departments that can help you. So, it’s a good idea to download it and print it. Place it somewhere in your practice where your staff can visibly see it. If you already have the Quick Reference Guide put up at your practice, please remove it and replace it with the most recent version.
Aetna Better Health does not use incentives to reward restrictions of care. Utilization management decision making is based only on appropriateness of care and service and existence of coverage. Aetna Better Health does not specifically reward practitioners or other individuals for issuing denials of coverage or service care. No reviewing provider may perform a review on one of his/her patients, or cases in which the reviewing provider has a proprietary financial interest in the site providing care.