Ababonelela njani abanokubamba iqhaza kwi-Aetna Network

Indlela yokufaka isicelo kunye ne-Credentialed njenge-Provider Network Network

Oogqirha kunye nabanye ababoneleli bangaba nxaxheba kwi-network ye-Aetna yokunakekelwa kwezempilo ukuze banike iinkonzo zezokwelapha kumanani abo akhulayo. Emva kokuba yamkelwe njengenxalenye yentanethi, ugqirha ke ungumniki-intanethi kwaye abantu abanesicwangciso se-Aetna baya kukhetha ukusebenzisa iinkonzo zabo ngokukhethekileyo. Oku kunenzuzo eqinileyo ukuba i-Aetna inabhalisi abaninzi kwindawo yakho.

U-Aetna uyazibona njengenye yeenkokeli zesizwe kwinshuwalense yezempilo. Ngezigidi zamalungu kwisicwangciso sazo lwezonyango, i-Aetna iyaqhubeka isinobuqilima kwiindawo ezininzi. Sebenzisa amanyathelo alandelayo njengesikhokelo sokuba ngu-inetna Network.

Isinyathelo soku-1: Fumana iNgcacisi yoMboneleli weSizwe (NPI)

Ngaphambi kokufaka isicelo sokuthatha inxaxheba kwintanethi ye-Aetna, ababoneleli kubandakanya oogqirha, abanye abaqeqeshi bezonyango, ii-ofisi zezobugcisa kunye nabathengi abathile kufuneka bafumane i-NPI.

Ingcaciso yomNikezeli kaZwelonke okanye i-NPI inombolo ye-identification ekhethekileyo eneenombolo ezili-10 ezisetyenziselwa ukuthatha indawo yabasebenzisi beenkcukacha ezifana neNombolo yeNgcaciso yoMboneleli onguNqobo (UPIN) kwi-HIPAA. Ababoneleli ngeenkonzo zezempilo bayafuneka ngokwemigaqo ye-HIPAA ukufumana i-NPI.

Ukuba awunayo i-NPI, faka enye kwi-nppes.cms.hhs.gov okanye ubize i-NPI Enumerator ngo-1-800-465-3203.

Inyathelo 2: Hambisa isicelo sokuthatha inxaxheba

I-Aetna idinga nawuphi na umboneleli onomdla ekuthatheni inxaxheba kwinethiwekhi ye-Aetna ukuhambisa isicelo sokuthatha inxaxheba ngaphambi kokuhambisa isicelo. Isicelo sokuthatha inxaxheba sihlolwe ukuba sithole isidingo somniki-nxaxheba ochaphazelekayo ngaphakathi kwendawo yakho yezokwelapha. Nxibelelana nolu hlobo lulandelayo ukuhambisa isicelo sakho somgqirha kunye nabanye ootitshala bezonyango:

1. Gcwalisa ifom yeFomu yeSicelo seNkqubo yezoNyango kwi-website ye-Aetna
2. Qhagamshelana nommeli ku-1-800-353-1232
3. Iziko lezonyango maziqhagamshelane ne-Aetna Provider Service Centre ngo-1-888-632-3862.

Qinisekisa ukuba ube ne-ofisi yakho yezobuGcisa ye-Tax ID kunye nenombolo yelayisenisi yezokwelapha esandleni. Ukuba isicelo sakho samkelwe, i-Aetna izakuthumela isivumelwano sakho somnikeli nge-imeyile yakho yokuhlaziywa. Isayinwa iyadingeka.

Inyathelo lesi-3: Joyina i-CAQH yoMboneleli we-Universal Datasource (UPD)

I-CAQH UPD iyithuluzi le-intanethi elenzelwe ukunciphisa inkqubo yokuqokelela ulwazi olufunwa zizicwangciso zempilo zomniki-nkonzo kunye nokunye okuninzi. Le nkqubo inqanda ababoneleli ukuba bahambise ulwazi olufanayo kwiinkqubo ezininzi ze- inshorensi yezempilo. Amalungu angazalisa kwaye athumele ulwazi lwabo kuzo zonke izicwangciso zezempilo mahhala.

• Fumana i-ID ye-CAQH yoMboneleli ngokubiza i-DeskH Support Desk (888) 599-1771 okanye i-imeyli caqh.updhelp@acsgs.com
• Ngena kwi-upd.caqh.org/oas/
• Landela imiyalelo ukugqiba nokuqalisa ukubhalisa

Inyathelo 4: Gqibezela isicelo

Inkqubo yesicelo ingazaliswa ngokupheleleyo kwi-intanethi. Emva kokuba isicelo sigqityiwe kwaye sityhidiwe, kuya kufuneka uvume i-Aetna ukuba ufikelele kwisicelo sakho sokubhalisa kunye nolunye ulwazi. Yonke inkqubo ayifanele ithathe iiyure ezimbini ukugqiba. Inqununu yenzelwe ukugcina ulwazi lwakho ukuba ufuna ukugqiba isicelo kwiiseshoni ezininzi.

Idesksi yokuxhasa i-CAQH iyafumaneka ukuncedisa ukuba kufuneka ufune uncedo ngexesha lwenkqubo.

Inyathelo 5: Hlanganisa onke amaxwebhu ancedisayo

Nawaphi na amaxwebhu axhasayo kufuneka afakwe ngefeksi kwi-CAQH (866) 293-0414. Uya kuyimfuneko:

• I-curriculum vitae
• Ilayisenisi yonyango
• Isatifikethi se DEA
• Isitifiketi seCDS
• Ifom ye-IRS W-9
• Iphepha lephepha le- inshorensi yokungahlawulwanga
• Isishwankathelo sawo nawaphi na amatyala angalunganga

I-Aetna inomsebenzi okhethekileyo wokuCredentialing. I-CVO ye-Aetna (UkuQinisekiswa koQinisekiso lweCredentialing) ihlola iziqinisekiso zomfundi ngamnye phambi kokuba umboneleli angamkelwa ukuba athathe inxaxheba kwinethiwekhi ye-Aetna. Ukongeza kwenkcazelo eceliwe ngu-CAQH, i-Aetna iya kuphinda ihlole ubuchule kunye nokuziphatha.

Olunye ulwazi olufanelekileyo

• Iyonke inkqubo ingathatha iinyanga ezintathu ukuya ezintandathu
• Isaziso esibhaliweyo siya kuthunyelwa kumnikezeli emva kokuba kwenziwe isigqibo
• Ukufumana ulwazi oluthe xaxa malunga neofisi yakho yezobugqirha kuba ngumboneleli we-Aetna uhambela i-www.aetna.com kunye ne-www.caqh.org.