I am the Office Manager for a hospice in Atlanta. I enjoy successfully obtained contracts beside several insurance companies such as United Healthcare - but cannot seem to take Aetna to cooperate with me. The type of contract that I have need of is a Provider Contract (putting our company into the "preferred providers" pool). I've gone through Provider Relations and every other outlet I could think of but still own no contract.
If anyone has ANY concept or possibly even has a foot within the door with Aetna and is likely to help me out, I would really appreciate audible range from you!
Thanks :)
Answers: You've tried all the appropriate outlets - you'll in recent times have to save following up every few months to see if they have an hole.
How many other hospice locations are contracted surrounded by your geographic area?
You own to remember that not everyone in an nouns is able to enjoy a contract - that's the whole point of a "preferred provider meet people." The in-network providers discount their rates in exchange for unloading the increase in tolerant volume from the contract, because patients are being steered to them vs. the competition.
If the bazaar for hospice is saturated within your area, consequently it will be very difficult for you to win a contract. Contracts for ancillary services are generally lower priority for contracting staff as it is (as opposed hospital and physician contracts). If Aetna feel that they have clothed market coverage within your area for hospice services, after they probably wouldn't feel close to its worth the time/effort to do all the debate and credentialing for you to have a contract. Sorry.
(If at hand *aren't* a lot of hospice providers surrounded by your part of the city, that's how you should run about marketing your services...an insurer is more predictable to take the time to contract next to you if you fill a aperture in their coverage nouns.)
Becoming a preferred provider for Aetna means you must assemble their credentialing and licensing requirements AND at hand must be a need for the type of service you want to provide surrounded by your area. Here is a knit to Aetna's page on becoming a provider and FAQ's.
http://www.aetna.com/provider/medical/jo...
I suggest submitting an application and they will respond also in writing.
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If anyone has ANY concept or possibly even has a foot within the door with Aetna and is likely to help me out, I would really appreciate audible range from you!
Thanks :)
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Answers: You've tried all the appropriate outlets - you'll in recent times have to save following up every few months to see if they have an hole.
How many other hospice locations are contracted surrounded by your geographic area?
You own to remember that not everyone in an nouns is able to enjoy a contract - that's the whole point of a "preferred provider meet people." The in-network providers discount their rates in exchange for unloading the increase in tolerant volume from the contract, because patients are being steered to them vs. the competition.
If the bazaar for hospice is saturated within your area, consequently it will be very difficult for you to win a contract. Contracts for ancillary services are generally lower priority for contracting staff as it is (as opposed hospital and physician contracts). If Aetna feel that they have clothed market coverage within your area for hospice services, after they probably wouldn't feel close to its worth the time/effort to do all the debate and credentialing for you to have a contract. Sorry.
(If at hand *aren't* a lot of hospice providers surrounded by your part of the city, that's how you should run about marketing your services...an insurer is more predictable to take the time to contract next to you if you fill a aperture in their coverage nouns.)
What training is needed to be a Independent Adjuster?
Becoming a preferred provider for Aetna means you must assemble their credentialing and licensing requirements AND at hand must be a need for the type of service you want to provide surrounded by your area. Here is a knit to Aetna's page on becoming a provider and FAQ's.
http://www.aetna.com/provider/medical/jo...
I suggest submitting an application and they will respond also in writing.
Resolved Questions: