Tip for Aetna Precert (plan-specific)

Use Availity for electronic submission — it's faster and provides real-time status updates

Tip for Aetna Precert (plan-specific)

Reference Aetna's Clinical Policy Bulletins (CPBs) to ensure documentation meets their criteria

Tip for Aetna Precert (plan-specific)

If documentation is incomplete, Aetna may request additional information — respond promptly to avoid denial

InsurancemoderateDoctor signature required

Aetna Precertification Request

Aetna Precert (plan-specific) · Aetna

Aetna-specific precertification request for inpatient admissions, outpatient procedures, and specialty services. Requires clinical documentation supporting medical necessity.

Form Details

Total fields: 15
Auto-fillable: 10 (67%)
Time without BeneFill: 20 minutes
Time with BeneFill: 5 minutes
Time saved: 15 minutes
Filled by: both
Frequency: per incident

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Where to Submit This Form

🌐

Aetna Provider Portal (Availity)

https://www.availity.com/

Submit electronically through Availity for fastest processing.

📠

Fax to Aetna Precertification

Fax: 860-754-5440

🌐

Call Aetna Precertification

https://www.aetna.com/

Call 800-624-0756 for medical precertification.

Filing Deadline

Submit before the scheduled service. Urgent requests can be submitted retroactively within required timeframes.

Required Attachments

📎 Completed Aetna precertification request form
📎 Clinical documentation supporting the requested service
📎 Current treatment plan and history of prior treatments
📎 Relevant diagnostic test results

Processing Time

Standard: up to 15 calendar days. Urgent: 72 hours. Post-service: 30 calendar days.

What Happens Next

Aetna assigns a case number and reviews clinical documentation. Approved cases receive an authorization number. Denials include appeal rights and peer-to-peer review options.

Tips for This Form

✓ Use Availity for electronic submission — it's faster and provides real-time status updates
✓ Reference Aetna's Clinical Policy Bulletins (CPBs) to ensure documentation meets their criteria
✓ If documentation is incomplete, Aetna may request additional information — respond promptly to avoid denial
✓ Request a peer-to-peer review with an Aetna medical director before accepting a denial

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Disclaimer: BeneFill™ provides form-filling assistance and informational guidance only. It is not affiliated with, endorsed by, or sponsored by the Aetna or any government agency. The information provided is for general informational purposes and does not constitute legal, medical, financial, or tax advice. Always verify form requirements and submission details directly with the issuing agency.