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How to speed up the credentialing process
We hear you. We want you to know that Aetna® is committed to reviewing your feedback and providing information to make it easier to work with us.
Recently, some of you asked about getting added more quickly to the network.
What to do before requesting to join the network
Please make sure the following information is up to date in Council for Affordable Quality Healthcare (CAQH) to ensure timely completion of credentialing:
- CAQH ProView application is in “Re-attestation” or “Initial Application Complete” status
- Aetna is listed as an authorized health plan
- CAQH ProView includes current provider Professional Liability Insurance policy information
- CAQH ProView has all active service locations listed for the state for which the practitioner is requesting participation
- CAQH ProView includes an active/current DEA and an active/current state license for every state in which the practitioner has active service locations
The credentialing timeline
Providers interested in participating start at Aetna.com and click on Join the network. After that, they proceed through the following schedule:
|
Welcome to Aetna.com |
Contracting |
Credentialing |
Contracting |
|
|---|---|---|---|---|
|
Approximate time frame |
1 to 30 days |
30 to 60 days |
60 to 90 days |
90 to 120 days |
|
What to expect |
Complete the request for participation.
Providers will be notified via email if we intend to pursue a contract or if we are unable to accept you into our networks. |
The local network operations team will reach out to you to begin the contracting process, if required.
The contract is an electronic document that must be signed through the AdobeSign process. Please sign and return the contract through AdobeSign. |
Once Network receives your signed contract, they’ll request that the credentialing process get started.
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 AdobeSign.
Aetna systems will reflect your participation effective date, and Aetna members will be able to see your information in the directory. You can now submit claims. |
|
Welcome to Aetna.com |
|
|---|---|
|
Approximate time frame |
1 to 30 days |
|
What to expect |
Complete the request for participation.
Providers will be notified via email if we intend to pursue a contract or if we are unable to accept you into our networks. |
|
Contracting |
|
|---|---|
|
Approximate time frame |
30 to 60 days |
|
What to expect |
The local network operations team will reach out to you to begin the contracting process, if required.
The contract is an electronic document that must be signed through the AdobeSign process. Please sign and return the contract through AdobeSign. |
|
Credentialing |
|
|---|---|
|
Approximate time frame |
60 to 90 days |
|
What to expect |
Once Network receives your signed contract, they’ll request that the credentialing process get started.
For most states, we use CAQH to obtain your credentialing application.
Make sure all data is up to date. |
|
Contracting |
|
|---|---|
|
Approximate time frame |
90 to 120 days |
|
What to expect |
Once you have been approved in the credentialing process, Aetna will countersign and return your final contract via email through AdobeSign.
Aetna systems will reflect your participation effective date, and Aetna members will be able to see your information in the directory. You can now submit claims. |
Legal notices
Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna).
Health benefits and health insurance plans contain exclusions and limitations.