Create your Aetna provider Application Form from scratch

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Here's how it works

01. Start with a blank Aetna provider Application Form
Open the blank document in the editor, set the document view, and add extra pages if applicable.
02. Add and configure fillable fields
Use the top toolbar to insert fields like text and signature boxes, radio buttons, checkboxes, and more. Assign users to fields.
03. Distribute your form
Share your Aetna provider Application Form in seconds via email or a link. You can also download it, export it, or print it out.

Create your Aetna provider Application Form in a matter of minutes

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Step 1: Access DocHub to build your Aetna provider Application Form.

Begin by accessing your DocHub account. Explore the advanced DocHub functionality free for 30 days.

Step 2: Navigate to the dashboard.

Once signed in, go to the DocHub dashboard. This is where you'll create your forms and handle your document workflow.

Step 3: Create the Aetna provider Application Form.

Click on New Document and select Create Blank Document to be taken to the form builder.

Step 4: Set up the form layout.

Use the DocHub toolset to add and arrange form fields like text areas, signature boxes, images, and others to your document.

Step 5: Insert text and titles.

Add necessary text, such as questions or instructions, using the text field to lead the users in your document.

Step 6: Configure field settings.

Modify the properties of each field, such as making them mandatory or arranging them according to the data you plan to collect. Designate recipients if applicable.

Step 7: Review and save.

After you’ve managed to design the Aetna provider Application Form, make a final review of your document. Then, save the form within DocHub, transfer it to your selected location, or distribute it via a link or email.

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Build your Aetna provider Application Form in minutes

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
Contact us
The CAQH Primary Source Verification solution validates credentialing information with live data from licensing boards, medical schools, government registries and other authoritative sources, delivering greater accuracy, speed and control to plans.
First Health is a wholly owned subsidiary of Aetna, which helps us enhance our national provider network and further improve savings across the country.
For most states, we use CAQH to obtain your credentialing application. Make sure all data is up to date. Once you have been approved in the credentialing process, Aetna will countersign and return your final contract via email through docHubSign.
However, in many instances, you may obtain a pre-determination of medical benefits by calling the Aetna member services phone number printed on the front of your Aetna ID card. Aetna will confirm the pre-determination of medical benefits in writing to you.
Your plan automatically renews unless you request to cancel.
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Build your Aetna provider Application Form in minutes

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Related Q&A to Aetna provider Application Form

UnitedHealthcare utilizes the Council for Affordable Quality Healthcare (CAQH) Universal Provider DataSource (UPD) for gathering credentialing data for physicians and other health care professionals. The CAQH UPD has been available free to physicians and health care providers since 2004.
To be clear, Medicare does not use CAQH but you can use the information stored in CAQH (If updated with your current information) to aid in the completion of Medicare enrollment applications.
This verification process is commonly referred to as provider credentialing. You will need to provide a docHub amount of enrollment information including documentation, including diplomas, certifications, work records, affiliations, tax information, proof of insurance, immunizations, and much more.

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