Banner Aetna Referral Form
Fill out this form below and mail it to us.
Banner aetna referral form. Browse through our extensive list of forms and find the right one for your needs. 23098041 7 19 aetna managed dental specialty referral form for dmo please see reverse side for additional information. Banneraetna is working better together with you to create healthcare thats low cost local and tailored just to you. Docasap scheduling software is now available through banneraetna.
Docasaps intelligent online appointment scheduling solution gives practices an additional access channel to increase patient acquisition while decreasing staff time spent on booking appointments. R pod i if submitting a universal claim form for payment or specialty approval this referral form must be included. Find banner aetna resources for members employers producers and health care professionals. When you need specialty care your pcp can refer you to network specialists.
Together banner and aetna are taking a new approach to the way health care is offered. An appointment is good for one year from the date that you and your representative sign an appointment of representative form. This referral form is important. Referrals arent required for direct access services such as routine eye care and obgyn services.
First choose a primary care physician who belongs to the banneraetna network. Banneraetna is the brand name used for products and services provided by banner health and aetna health insurance company and banner health and aetna health plan inc. Find aetna health care professional forms here. Youll leave aetna medicare and go to the cms website if you link to the form.
Learn more about this innovative partnership and how these two industry leaders aim to provide more efficient and effective patient care at a more affordable cost. Your pcp provides basic and routine care including preventive exams and screenings. A referral isnt a substitute for a service that requires. Learn more about our member health plans tools resources and more.
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