No Escape From Aetna....
On March 13th, I wrote a post: "To Aetna: I am NOT in Your Network about how I was trying to reach Aetna to clarify that I am not a psychiatrist in their network. I wanted this clarified because I was getting so many calls from people asking to see me because I am listed on Aetna's website. I called and called again, but the voicemail prompts left me with no where to go. When I reached a live person, I was told that Network Services would contact me within 48 hours. That never happened. I wrote in through their website. Nothing. And finally, I contacted the Maryland Insurance Commission, who contacted Aetna, and a real live, very helpful person at Aetna did in fact call me. So I spoke to the real live person at Aetna who had a name and an direct line phone number. Why did they think I was in their network? People have to apply for this, and I had no memory of filling out paperwork. The real live person, whom I fist spoke with on March 23rd, clarified that I had been an Aetna provider through two clinics where I had once worked. These are different from my private practice, and participation is based on the billing address. So I was registered as a provider at an outpatient clinic that I left in 1998, and at another clinic that I left in 2013. Hmmm, so why did they have me registered at my private office? Well, apparently last May they received a claim form for out-of-net...
Source: Shrink Rap - Category: Psychiatry Authors: Dinah Source Type: blogs
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