Aetna
CommercialVerified · August 2026National
Phase 3B: first verified national commercial contact. Provider network/contracting line (888-632-3862) confirmed on the official Aetna joining-the-network FAQ on 2026-08-16.
- Standard timely filing
- Not yet published
- Appeal filing window
- 180 days
- Prior authorization
- Not yet published
- Appeal channel
- Portal
- Provider portal
- See portal tab
- Verification
- Verified · August 2026by AR Guide team
Notes
Phase 3B: first verified national commercial contact. Provider network/contracting line (888-632-3862) confirmed on the official Aetna joining-the-network FAQ on 2026-08-16.
Payer Contact Finder
Know before you call
Insider tipsEditorial guidance
Check the provider portal first
Eligibility, claim status and prior-authorization requests are available through Availity and Aetna's electronic tools — resolve what you can there before calling.
Editorial tip · last reviewed 2026-08-16
Have your Tax ID and NPI ready
Aetna's provider lines verify the practice before discussing claims — having the Tax ID and rendering NPI in hand speeds up the call.
Editorial tip · last reviewed 2026-08-16
Processing-time standardsSource-backed
Provider dispute / appeal filing standard
180 days
Published by the payer / state agency · verified 2026-08-16 · View source (opens in a new tab)
- Standard filing limit
- Not stated
- Counted from
- Not stated
- Appeal filing limit
- 180 days
- Appeal window from
- Not stated
- Notes
- Aetna publishes a 180-day provider dispute / appeal filing standard (auth-aetna-appeals). The appeal-window trigger is not stated by the source — not assumed.
- Provider Services
- 888-632-3862Verified · August 2026Verified Aug 16, 2026 · Official web pageView source (opens in a new tab)
Network contracting, credentialing status and general provider questions — the "Medical and behavioral health / all other questions" line on Aetna's official joining-the-network page. Separate numbers exist for Medicare Advantage, dental and pharmacy.
Every contact is individually source-tracked and shows the date it was last verified. A green “Verified” badge only appears when a source and verification date exist.
- Features
- claims, eligibility, authorization
- Registration required
- Yes
- Notes
- Aetna provider claims, eligibility and prior authorization are handled through the Aetna space on Availity (official Aetna eTools page).
Referrals
Not yet published for this entry. Referral requirements and retro-referral rules are published only when verified against a source.
- Method
- portal
- Portal
- https://www.aetna.com/health-care-professionals/disputes-appeals/provider-appeals.html
Level 1
Documentation requirements
Not yet published for this entry. Required documentation for appeals and additional-information requests is published only when verified against a source.
- Common CARCs
- 197
- Top reasons
- Precertification / prior authorization / notification absent (CARC 197) — the payer documents authorization requirements for covered services.
Help us keep this accurate
Report outdated information
Recent updates
Change log
- Verified portal information · Aug 18, 2026Aetna — Electronic Transaction Tools for Providers
- Verified authorization policy · Aug 18, 2026Aetna — Electronic Transaction Tools for Providers
- Verified appeal policy · Aug 18, 2026Aetna — Provider Appeals (dispute filing standard + MA reconsideration/appeal windows)
- Verified denial patterns · Aug 18, 2026Aetna — Electronic Transaction Tools for Providers
- Entry last reviewed · Aug 18, 2026Aetna — official websiteAetna — Joining the Provider Network FAQs (provider contact numbers)Aetna — Provider Appeals (dispute filing standard + MA reconsideration/appeal windows)Aetna — Electronic Transaction Tools for ProvidersAetna — Office Manual for Health Care Professionals (PDF)
- Verified provider services contact · Aug 16, 2026Aetna — Joining the Provider Network FAQs (provider contact numbers)
- Verified timely filing · Aug 16, 2026Aetna — Provider Appeals (dispute filing standard + MA reconsideration/appeal windows)
Contact information is provided for reference and is verified against the cited source as of the date shown. Payer contact information may change. Always confirm the appropriate contact for the member's plan and claim.
Source & verification
Directory record
- Geographic scope
- National
- Line of business
- Commercial
- Last reviewed
- Aug 18, 2026
- Verified by
- AR Guide team
- Aetna — official website — https://www.aetna.com
- Aetna — Joining the Provider Network FAQs (provider contact numbers) — https://www.aetna.com/faqs-health-insurance/health-care-professionals-join-network.html
- Aetna — Provider Appeals (dispute filing standard + MA reconsideration/appeal windows) — https://www.aetna.com/health-care-professionals/disputes-appeals/provider-appeals.html
- Aetna — Electronic Transaction Tools for Providers — https://www.aetna.com/health-care-professionals/claims-payment-reimbursement/electronic-transaction-tools.html
- Aetna — Office Manual for Health Care Professionals (PDF) — https://www.aetna.com/content/dam/aetna/pdfs/aetnacom/health-care-professionals/office_manual_hcp.pdf