You can access Aetna Voice Advantage® by calling our Provider Service telephone numbers: For HMO plans and Medicare Advantage plans, call 1-800-624-0756 For all other plans, call 1-888-MDAetna (1-888-632-3862). Find other phone numbers or send us a question onlineLegal notices Aetna...
Updates on plans, procedures, drug lists, Medicare and state-specific information. Learn more CareCentrix Provider Manual (EDRC 746 01242018) VT 9241 Plan prior to providing any service, equipment or supply item. Receipt of a Service Authorization Form is. never a guarantee of payment for ...
Any organization determination requested by a Medicare Advantage member, appointed representative* or physician for a coverage decision You can submit a precertification by electronic data interchange (EDI), through our secure provider website or by phone, using the number on the member’s ID card....
Medicare Medicaid We’re going to explore each option in the next few sections. Medical and Pharmacy Plans There are three different plan levels you can choose from when deciding an individual plan: Bronze, Silver, and Gold. The difference between each plan has to do with the monthly premium...
Medicare disputes and appeals Medicare precertification Medicare medical specialty drug and Part B step therapy precertification National Provider Identifier (NPI) Network application requests Non-Medicare dispute and appeals Oral Maxillofacial Surgery Patient specific Pharmacy Pharmacy state-specifi...
Get help by phone You can send complaints about potential violations of federal law or state law to the U.S. Department of Health & Human Services at1-800-985-3059. Get help online You can also visit the Centers for Medicare & Medicaid Services website tolearn about federal guidance to en...
However, the Center for Medicare and Medicaid Services has deemed delivery of US via a hands-free unit to be investigational. This investigator examined the effectiveness of tissue heating with a hands-free US technique compared to a hand-held US transducer using the Rich-Mar AutoSound unit. A...
Aetna's medical necessity criteria for external infusion pumps for diabetes have been adapted, in part, from Medicare national policy on external insulin infusion pumps, as outlined in CMS's Coverage Issues Manual Section 60-14. Documentation of continued medical necessity of the external insulin ...
For Medicare criteria, see Medicare Part B Criteria. Note: Requires Precertification: Precertification of octreotide acetate (Sandostatin, Sandostatin LAR Depot), lanreotide (Somatuline or generic), pasireotide diaspartate (Signifor), and pasireotide pamoate (Signifor LAR) is required of all Aetna ...
All patients were managed by their usual provider. Mean (± standard deviation) decline in A1C at 12 weeks was 1.0% (± 1.1%) in the RT-CGM group and 0.5% (± 0.8%) in the SMBG group (p = .006). There were no group differences in the net change in number or dosage of ...