Get Aetna Better Health Of Kentucky

Filling out the Aetna Better Health Of Kentucky form can be a streamlined process if you follow the right steps. This guide offers clear, step-by-step instructions to ensure you complete the form accurately and efficiently.

Follow the steps to fill out the Aetna Better Health Of Kentucky form online.

1. Press the ‘Get Form’ button to access the prior authorization form, which you will need to complete for your request.
2. Begin by indicating the type of request. Select whether it is urgent, inpatient, home health care, or non-urgent outpatient based on the patient’s needs.
3. Fill out the patient information section. Provide the patient’s name, ID number, date of birth, and other relevant details about their health status, including insurance information and pregnancy status.
4. Enter the requesting provider’s details. Write down the provider’s name, tax ID number, contact person, and contact information, ensuring all information is correct.
5. Specify where the patient will receive services. Include the name and address of the physician, provider, or facility, along with their phone and fax numbers.
6. In the clinical information section, input the required ICD-9 and CPT/HCPCS codes along with their descriptions. Be thorough to avoid processing delays.
7. Add any comments or details regarding the number of days, visits, or units required for service and ensure that all necessary clinical documentation is attached.
8. Review all entries for completeness and accuracy. Ensure you include required attachments such as medical records that support the request.
9. Save your changes and prepare to submit the form. You can download, print, or share the completed form as needed.

Start completing your Aetna Better Health Of Kentucky form online today!