Get Aetna Better

Completing the Aetna Better online form can be a straightforward process when you have clear guidance. This guide will provide step-by-step instructions to help you fill out the prior authorization form efficiently and accurately.

Follow the steps to complete the form correctly.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling out the member information section. Provide the member's name, ID number, date of birth, and physician's name. If the member has other insurance, be sure to include that as well.
3. In the requesting physician or provider information section, enter details about the referring or requesting provider. This includes their name, address, telephone number, fax number, and specialty. Don’t forget to include the National Provider Identification (NPI) number and the contact person's details.
4. Next, provide the referral or authorization information. Clearly state the problem or diagnosis using the appropriate ICD-9 code. Include any relevant procedure or test requested with corresponding CPT codes.
5. Indicate the date of the appointment or service required and the number of visits expected. Specify the type of procedure by circling the option that applies: inpatient, outpatient, in office, or other.
6. Finally, if there is additional clinical information such as clinical notes, lab results, or X-ray reports, include that in the space provided. If needed, attach additional pages for comprehensive documentation.
7. Review all the information you have entered for accuracy. Once verified, you can save changes, download, print, or share the completed form as needed.

Complete your forms online today and ensure timely submissions.