Contact Aetna

It's easy to update a provider address, phone number, fax number, email address or initiate an out-of-state move or a change in provider group.

Update provider data

Availity users log in to send us your questions

Submit a medical or behavioral health question or comment

Submit a National Provider Identifier (NPI)

Submit a National Provider Identifier (NPI) exemption

Request clinical review criteria for New York state residents

Request to use an Aetna or Coventry logo

The Provider Service Center helps with contracting, patient services, precertification and many other questions.

• HMO and Medicare Advantage - 1-800-624-0756 (TTY: 711)
• Indemnity and PPO-based plans - 1-888-MD AETNA (1-888-632-3862) (TTY: 711)
• Voluntary plans - 1-888-772-9682 (TTY: 711)
• Worker's comp - 1-800-238-6288 (TTY: 711)
• ASA and Meritain - use phone number on member's ID card
• BRCA genetic testing (precertification and information) - 1-877-794-8720 (TTY: 711)

Claims - if you have questions about claims, contact the Provider Service Center (see list below)

• Credentialing - 1-800-353-1232 (TTY: 711)
• Dental providers - 1-800-451-7715 (TTY: 711)
• Disease management programs - 1-866-269-4500 (TTY: 711)
• Infertility program - 1-800-575-5999 (TTY: 711)
• Maternity program - 1-800-272-3531 (TTY: 711)
• Mental health treatment - use phone number on member's ID card
• Availity help - registration questions, help with user name/password 1-800-282-4548 (TTY: 711)
• Pharmacy management - 1-800-238-6279 (TTY: 711)
• Specialty Pharmacy - 1-866-782-2779 (TTY: 711)
• Substance abuse treatment - use phone number on member's ID card
• Transplant program - 1-877-212-8811 (TTY: 711)

By using our provider portal on Availity, you can handle tasks for your patients with Aetna plans, including:

• Check coverage and benefits
• View Claim status
• Request Authorization

Login to or register for Availity

Behavioral Health

Dental

Pharmacy

Facility

Relocating, retiring, job changes

If you’re retiring, moving out of state, or changing provider groups, use this form to notify us. We’ll need to terminate your existing agreement with us. If you’re moving or changing jobs, you can sign a new agreement for your new practice or location.

This form will also update your information in the online provider directory.

Provider termination form and directory update

If ONE of the following criteria applies to you, please request a medical application form using the link below:

• I am a physician
• I am a non-physician health care professional who is not employed by an Aetna-contracted provider (physician group, hospital, etc.) I practice independently and I want to contract with Aetna
• I am a non-physician health care professional who wants to be available for selection as a primary care provider (PCP), and my state regulations allow me to serve as a PCP. I may or may not be employed by an Aetna-contracted provider.

Request a medical application - credentialing is required

Note: If you are a hospital based provider seeking to join an already contracted group, you do not need to complete the application independently.

Independent retail pharmacies

Independent retail pharmacies can fill out the form at the link below. Please fill in all fields.

Request Part D participation

Independent non-retail pharmacies

Independent non-retail pharmacies - such as long-term care facilities, home infusion pharmacies, and mail order pharmacies - can call one of the phone numbers below to request participation:

CVS Health - 1-480-391-4623

Chain or Pharmacy Services Administrative Organization (PSAO) pharmacies

Chain or PSAO pharmacies can request to participate in our Part D retail pharmacy network by e­mailing us this information:

• Pharmacy name
• Chain code/NCPDP
• Name, address and phone number of the pharmacy contact person
• Name and title of the authorized agreement signer

E-mail your pharmacy information to Aetna

To request participation in Coventry Workers' Compensation, Coventry Auto Injury, or First Health networks, follow the links below.

Exception: For workers' compensation network in Texas, do not apply online; instead, call 1-800-937-6824.

Apply to join the workers' compensation network in New York

Apply to join a network

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Bridges to Excellence

Have questions about our products, policies and services? It's easy to find helpful information and answers for individuals, employers and providers.

Frequently asked questions