Get Aetna Pos Forms For

Filling out the Aetna Pos Forms For can streamline the precertification process for erythropoietin injectable medications. This guide offers step-by-step assistance to ensure that users can accurately complete the form online.

Follow the steps to successfully complete the form.

1. Press the ‘Get Form’ button to access the form and open it in your chosen editor.
2. Begin by entering the patient information. Fill in the patient's first and last name, address, home phone number, date of birth, height, weight, and specify any allergies.
3. Next, provide details about the dispensing provider. Indicate if it is Aetna Specialty Pharmacy or another provider, and enter the required contact information including phone, fax, and address.
4. Complete the physician information section. Enter the physician's first and last name, address, phone number, and any relevant license numbers.
5. In the insurance information section, fill out the primary and secondary insurance details, including the member ID numbers and group numbers.
6. Provide the patient's medical history and physical findings by selecting the applicable ICD-9 codes and answering the questions about their current treatment status.
7. Fill out the lab values section. Ensure to enter relevant hemoglobin lab draw dates, check the appropriate medication code, and document any changes in dosages as necessary.
8. Complete the prescription information by selecting the medication required, entering the dosage, frequency, and refill information.
9. Review the entire form for accuracy, ensuring all mandatory fields are filled and relevant sections are completed.
10. Once all the sections are completed, you can save changes, download the form, print it for your records, or share it electronically as needed.

Ensure your documents are completed accurately by filling out the Aetna Pos Forms For online today.