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What does it mean to need a prior authorization?

What is a Prior Authorization? A prior authorization (PA), sometimes referred to as a \u201cpre-authorization,\u201d is a requirement from your health insurance company that your doctor obtain approval from your plan before it will cover the costs of a specific medicine, medical device or procedure.

Does Aetna do retro authorizations?

Retrospective review is available when: Precertification/notification requirements were met at the time the service was provided, but the dates of service do not match the submitted claim.

What is prior authorization Aetna?

There may be a time when you have a health problem that can't be treated by your primary care physician (PCP) alone. Sometimes you may need specialty care or to see a specialist. Prior authorization PDF Opens In New Window is a request to Aetna for you to get special services or see a specialist.

Does Aetna Medicare require authorization?

Generally, you must get your health care coverage from your primary care physician (PCP). Your PCP will issue referrals to participating specialists and facilities for certain services. For some services, your PCP is required to obtain prior authorization from Aetna Medicare.

How do I get pre authorization for Aetna?

Call our customer service center to determine if the service you are requesting requires pre- certification. VO: A Letter of Authorization allows Aetna to make sure you're getting the right treatment, and then to assess that treatment before services are received or costs are incurred.

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What services does not require prior authorization?

No pre-authorization is required for outpatient emergency services as well as Post-stabilization Care Services (services that the treating physician views as medically necessary after the emergency medical condition has been stabilized to maintain the patient's stabilized condition) provided in any Emergency Department ...

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What does it mean to need a prior authorization?

Does Aetna do retro authorizations?

What is prior authorization Aetna?

Does Aetna Medicare require authorization?

How do I get pre authorization for Aetna?

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What services does not require prior authorization?

aetna predetermination request form

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