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  1. Learn how to request coverage approval for your patients before inpatient admissions and select ambulatory procedures and services. Find out the benefits of precertification, the criteria for coverage determination, and the precertification lists for Aetna plans.

  2. www.aetna.com › health-care-professionals › precertificationPrecertification lists - Aetna

    1 sie 2024 · Find out if a procedure or service requires prior approval from Aetna by using the CPT code search tool or the precertification lists. The lists include effective dates, behavioral health services, and special programs.

  3. 27 mar 2023 · Learn how to get approval for certain medical procedures, tests and prescriptions from Aetna. Find out what you need to do, who to contact and what to expect during the prior authorization review.

  4. 1 lis 2022 · Learn what prior authorization is, why it’s needed, and how it works for Aetna plans. Find out which services and medicines require prior authorization and how to get it.

  5. Learn how to request prior authorization for selected drugs covered by CVS Caremark pharmacy benefit. Find PA forms, criteria, tools, contact information and state requirements for Medicare, Medicaid and non-Medicare plans.

  6. 20 cze 2023 · Learn how Aetna evaluates the medical necessity and appropriateness of certain healthcare services through prior authorization. Find out the types of services, the process steps, and the tips for a smoother experience.

  7. What is ePA? Why should I use ePA? How does the ePA process work? . sing their preferred online portal (CoverMyMeds® or Surescripts®) or EHR. After completing the. PA question set, the prescriber submits it via the online PA portal or EHR. CVS Caremark® automatically assesses cl.

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