Physicians and Medical Professionals
This page shows detailed information about the physician or other medical professional you have selected. Detailed information may include:

Provider ID: Number that uniquely identifies this provider. This is the number you will need to put on your enrollment form.

Network ID: (only required for Managed Choice and Elect Choice plans) Enter this number on your enrollment form if you are enrolling into either Managed Choice or Elect Choice. If n/a appears in this column, then you do not need this for enrollment.

Specialty(ies): This is the provider's specialty. If the provider has more then one specialty, all will be listed.

Patient Age Focus: When available, DocFind will display information about whether the provider has a patient age specialization.

Health Plans: This is a listing of the Aetna plans in which the provider participates or accepts.

Hospital Affiliation: This is a listing of the hospitals where the provider has admitting privileges. If you require hospital care, you may be directed to one of the hospitals listed.

Other Office Locations: In addition to the address listed, the provider may have other office locations. You may view these locations by clicking on the "View Locations" link.

Provider Role: This field indicates whether the provider is a Primary Care Physician (PCP) or a Specialist. This may vary by plan.

Rate Your Medical Professional Survey Results: The Rate Your Medical Professional survey provides members with an opportunity to give feedback on Aetna participating providers and other providers available to members under their coverage with Aetna. It is used to collect feedback on PCPs, specialists and other medical professionals. The Survey allows members to indicate their level of satisfaction with their access to and relationship with the provider and the provider's office staff. You may view the survey results on this provider by clicking the "View Results" link.

Board Certification: When a physician is board certified, it means that he or she has applied for and been awarded certification from the American Board of Medical Specialties or the American Osteopathic Association. To become board certified, a physician must:

• Graduate from an accredited medical school
• Complete a specific type and length of training in a medical specialty
• Practice for a specified amount of time in that specialty
• Pass an examination given by the medical specialty board

Board certification is a voluntary process. Most certifying boards now require physicians to be recertified at specified intervals.

E-Pay Connectivity: E-Pay, an innovative approach to claims processing and payment, is an electronic referral and claims payment system that allows Aetna to process clean claims for payment within 15 business days of receipt. Participating physicians enrolled in E-Pay can get rapid payment turnaround of clean electronic claims in all of our products.

Office Status: This indicates whether or not a provider is accepting new patients. It is recommended that you call the provider's office to confirm.

Please use the "Request Data Correction" form to report any updates to provider data.