Aetna Behavioral Health NJ
Guide for Social Work Providers
Main phone number for Providers:
For all questions and claims issues please contact the Provider Services Center at 1-800-624-0756 for HMO plans and 1-888-632-3862 for PPO and Indemnity plans.
Email address for Provider questions, if applicable:
Links are provided throughout the website to contact Aetna via email.
Web links: (If the link provided does not connect please copy and paste into your browser)
General Provider information link:
https://www.aetna.com/health-care-professionals.html#open
Provider FAQ link:
Aetna Education Website
https://www.aetnaeducation.com/ihtml/application/student/interface.NewAetna/index.ihtml
Aetna Benefits Products Quick Reference Guide https://www.aetnaeducation.com/ihtml/application/upload/aetna_cbt_display.ihtml?step=5&enrollment_id=0&dvar=13&content_id=8832
Web link for claims submissions:
https://www.aetna.com/health-care-professionals/claims-payment-reimbursement.html#
Web link(s) for other Provider forms:
https://www.aetna.com/health-care-professionals/health-care-professional-forms.html
Web link to Provider webinars page, if applicable:
Webinar Calendar
https://www.aetnaeducation.com/ihtml/application/student/interface.NewAetna/index2.htm?page=calendar
Link to Provider handbook:
FOR BEHAVIORAL HEATH
http://www.aetna.com/healthcare-professionals/documents-forms/BH-Health-Provider-Manual.pdf
FOR EAP
http://www.aetna.com/healthcare-professionals/documents-forms/EAPProviderManual.pdf
Provider contact(s) for atypical or hard-to-answer questions:
(i.e., a supervisor)
All questions should be directed to the Provider Services Center at 1-800-624-0756 for HMO plans and 1-888-632-3862 for PPO and Indemnity plans for tracking purposes. If the Provider Service Center is unable to assist the provider they will contact the appropriate area for resolution.
How to apply to Aetna Behavioral Health insurance panels:
(include link to web address, if applicable, and any specific specialty practice areas or other qualifications that would be helpful to the panel)
Individual or Group Behavioral Health Providers
https://www.aetna.com/health-care-professionals/forms/behavioral-health-application.html
CAQH Guide
https://www.aetna.com/health-care-professionals/join-the-aetna-network/how-to-apply.html
Click Learn more about CAQH at the bottom of the page
Additional information that Providers should know about your network:
Newsletters and News
https://www.aetna.com/health-care-professionals/newsletters-news/provider-newsletters.html
Precertification Lists
https://www.aetna.com/health-care-professionals/precertification/precertification-lists.html
For In Network Providers to Update their Aetna Information
http://www.aetna.com/docfind/custom/provider/data_correction.html
Aetna Education Website – This site provides educational materials on various topics, including ID cards, third party administrators, electronic claims and remittance advices as well as our webinar calendar.
https://www.aetnaeducation.com/ihtml/application/student/interface.NEWaetna/index.ihtml