Aetna Medical Provider Credentialing Customer Service

Aetna is a major health insurance and benefits company in the United States. With millions of plan members and in-network health care professionals, it isn't surprising that Aetna receives a lot of customer service calls each and every day.

Why Do People Call Aetna Customer Support?

People call Aetna customer support for a range of reasons, including:

• Modifying or ending insurance or benefit plans
• Questions about coverage
• Help with locating an in-network health care professional
• Tracking or appealing a claim
• Technical support in using Aetna's website
• Finding out whether a prescription drug is covered under a pharmacy plan

Best Practices for Calling Aetna Customer Service

There are several things you can do to help ensure that your call to Aetna is resolved quickly and professionally:

• Make sure you are calling the correct number. Aetna has different contact information for different programs and services.
• Before calling, assemble necessary information and documentation. This may include your member ID card, a description of benefits, contact information for your health care provider, relevant correspondence and billing statements.
• Have a way to take notes during your call. Notes can be helpful if you have to call Aetna back or escalate your case.

How do Consumers Feel About Calling Aetna Customer Service?

Aetna is committed to providing quality customer service and has invested heavily in online and phone-based customer experience tools. In general, callers to Aetna are satisfied with the service that they receive.

What Kind of Issues can Aetna Customer Service Representative Resolve?

An Aetna Customer service representative can resolve a range of issues, including providing callers with information about their coverage, checking on the status of claim processing, and updating personal information, such as changing addresses and phone numbers.

Aetna customer service representatives can also provide information about prescription drug coverage and whether a particular provider is in your network. Getting answers to your questions before scheduling a visit or attempting to purchase a prescription drug can save you both time and money, particularly if your prescription or choice of provider is not covered by your Aetna plan.

What Can't Be Resolved With a Call to Aetna Customer Service?

Aetna customer service representatives are not medical professionals and cannot diagnose medical issues or provide medical advice. While the Aetna does offer a nurse hotline, the nurses who staff this line provide information only, and cannot tell you how to manage your health issues.

It should also be noted that Aetna customer service agents do not make decisions about whether to approve or reject a claim or treatment. They are unable to resolve these issues on your behalf.

What Should You Do If You Have an Unsuccessful Call with Aetna?

Sometimes, customer service calls don't go the way you want them to. If this happens with a call to Aetna customer service, don't fret. You have options for getting answers to your questions or issues resolved.

First, review the notes that you took during your call. If you did not take notes while speaking with Aetna customer service, jot down what you remember from the conversation. Having the facts in front of you will make it easier to stay on topic when you contact Aetna again.

Next, call Aetna back. Customer service representatives have different levels of training and experience, and the next person you speak to might be in a better position to resolve your concerns.

If another call to Aetna does not resolve your issues, try a different way of getting in touch. Aetna offers live chat and email customer service options to its members. Using either one of these options has the benefit of providing you with a transcript of your communication with Aetna.