Aetna

Aetna has delegated to OrthoNet medical management and claims responsibilities for physical and occupational therapy services for its HMO-based products in the New York and New Jersey regions. Aetna has delegated to OrthoNet medical management and claims responsibilities for physical and occupational therapy services for its HMO-based products in the New York and New Jersey regions, and HMO, PPO based products including Medicare Advantage products for the state of Connecticut

See Frequently Asked Questions (New York-New Jersey)

See Frequently Asked Questions (Connecticut)

Forms

Click the link to open the form in a new browser window, then use your browser's Print button to print it. To download the form for later printing, right-click the link and choose "Save target as..." from the popup menu. Then use the file dialog to navigate to a folder on your harddrive where you wish to save the file.

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Therapy Request Form NJ Claim Appeal Application Form
PT/OT Initial Evaluation Report  
PT/OT Initial Evaluation Report For Vestibular Dysfunction  
Functional Progress Chart  

Authorization
and
Claims Status

Using our secure site, you may check an authorization or the current status of a claim (24-hour access).

Please have your authorization/claim number ready.

Contact

Medical Management
800-771-3205
Fax: 800-477-4310

Aetna Focused Claims Review
888-391-3040

Provider Services
800-771-3205

Health Plan Web Site

www.aetna.com