Zomwe Zingathe Kugawanapo pa Network Aetna

Mmene Mungayankhire ndi Kutetezedwa monga Wopereka Mtanda wa Aetna

Madokotala ndi othandizira ena akhoza kukhala nawo mbali pa intaneti ya Aetna kuti athe kupereka chithandizo chamankhwala ku chiwerengero chawo cha mamembala. Akavomerezedwa ngati gawo la intaneti, dokotala ndiye wothandizira pa intaneti ndipo anthu omwe ali ndi dongosolo la Aetna adzasankha ntchito zawo. Izi ndizothandiza kwambiri ngati Aetna ali ndi olembetsa ambiri m'deralo.

Aetna amadzizindikiritsa yekha ngati mmodzi mwa atsogoleri a dziko mu inshuwalansi ya umoyo. Ndi mamiliyoni a mamembala m'ndondomeko yake yachipatala, Aetna akupitirizabe kukhala ndi mphamvu zambiri m'mayiko ambiri. Gwiritsani ntchito njira zotsatirazi monga chitsogozo chokhala nawo mu Network Aetna.

Gawo 1: Pezani Wopereka Zosamalira Zachilengedwe (NPI)

Asanayambe kufunsa kuti alowe nawo mu intaneti ya Aetna, ogwira ntchito kuphatikizapo madokotala, akatswiri ena azachipatala, maofesi a ofesi ndi ogulitsa ena ayenera kupeza NPI.

Chidziwitso cha National Provider kapena NPI ndi nambala yodziwika ya chiwerengero cha 10 yomwe amagwiritsidwa ntchito kutenga malo omwe amadziwitse enieni monga Nambala Yodziwika Yopereka Zapadera (UPIN) mu HIPAA. Osowa zaumoyo amafunika mwa lamulo la HIPAA kupeza NPI.

Ngati mulibe NPI, pemphani mmodzi pa nppes.cms.hhs.gov kapena muitaneni NPI Enumerator pa 1-800-465-3203.

Gawo 2: Perekani pempho loti mutenge nawo mbali

Aetna amafuna munthu aliyense yemwe ali ndi chidwi chofuna kutenga nawo mbali pa webusaiti ya Aetna kuti apereke chilolezo chokhalapo asanayambe kugwiritsa ntchito. Pempho la kuchitapo nawo mbali likuyesedwa kuti lizindikire kufunikira kwa wothandizira omwe akugwira nawo ntchito m'deralo. Lembani chimodzi mwa zotsatirazi kuti mupereke pempho lanu kwa dokotala ndi ena ogwira ntchito zachipatala:

1. Lembani fomu ya pempho lachipatala pa intaneti pa webusaiti ya Aetna
2. Lankhulani ndi woimira pa 1-800-353-1232
3. Malo azachipatala ayenera kulankhulana ndi Aetna Provider Service Center pa 1-888-632-3862.

Onetsetsani kuti muli ndi ID ya Tax Tax ndi nambala ya chilolezo chachipatala. Ngati pempho lanu lavomerezedwa, Aetna adzatumiza mgwirizano wanu ndi imelo kuti muwone. Kusayina kumafunika.

Gawo 3: Gwiritsani ntchito DATasource (UPD) Yopereka Zonse Zachilengedwe

CAQH UPD ndi chida chamakono chomwe chinapangidwira kuti zikhale zosavuta kusonkhanitsa chidziwitso chofunikira ndi magulu azaumoyo opereka othandizira ndi zina zambiri. Kuchita izi kumalepheretsa ogwira ntchito kuti apereke chidziwitso chomwecho ku mapulani ambiri a inshuwalansi. Mamembala angathe kumaliza ndikupereka uthenga wawo kuzinthu zonse zaumoyo kwaulere.

• Pezani ID ya Wofalitsa wa CAQH mwa kutchula Desi Yothandizira ya CAQH pa (888) 599-1771 kapena imelo caqh.updhelp@acsgs.com
• Login pa upd.caqh.org/oas/
• Tsatirani malangizo kuti mutsirize ndi kuonetsetsa kulembetsa

Gawo 4: Malizitsani ntchito

Ntchito yogwiritsira ntchito ikhoza kuthetsedwa kwathunthu pa intaneti. Pomwe pempholi litatsirizidwa ndikuvomerezedwa, muyenera kuvomereza Aetna kuti apeze zolembera zanu ndi zina. Zonsezi zisamangotengera maola awiri kuti amalize. Mutuwu wapangidwanso kuti asunge zambiri ngati mukufuna kumaliza ntchitoyi mu magawo ambiri.

Dongosolo lothandizira la CAQH likupezeka kuti likuthandizeni ngati mukufuna thandizo panthawiyi.

Khwerero 5: Sonkhanitsani zonse zolemba zolemba

Zolemba zothandizira zilizonse zogwirizana ziyenera kutumizidwa ku CAQH pa (866) 293-0414. Mudzafunika:

• Mbiri yamoyo ndi maphunziro
• Chilolezo cha zamankhwala
• Dipatimenti ya DEA
• CDS certificate
• Fomu ya IRS W-9
• Kusuta inshuwalansi face sheet
• Chidule cha milandu iliyonse yosakanikirana kapena yosakhazikika

Aetna ali ndi ndondomeko yapaderadera yovomerezeka. CVO (Credentialing Verification Organisation) ya Aetna imayesa ziyeneretso za munthu aliyense yemwe angapereke thandizo kwa mwiniwakeyo kuti athe kulowerera nawo pa intaneti. Kuwonjezera pa zomwe adafunsidwa ndi CAQH, Aetna adzakambiranso luso labwino komanso khalidwe.

Zina Zopindulitsa

• Zonsezi zingatenge miyezi itatu kapena sikisi
• Chidziwitso cholembedwa chidzatumizidwa kwa wothandizira kamodzi chisankho chapangidwa
• Kuti mudziwe zambiri za ofesi yanu ya zachipatala kukhala maulendo otsogolera a Aetna pa www.aetna.com ndi www.caqh.org.