Insurance

Aetna Pre-Authorization Webinars

As previously reported, Aetna’s contract with Triad/eviCore is expiring on Dec. 31, 2018.  A vendor called National Imaging Associates (NIA) will be managing a new pre-authorization program immediately following the Triad contract expiration, starting Jan. 1, 2019.  The process will apply to all physical medicine procedure codes regardless of what type of provider performs them whether it be a DC, PT or MD.  The pre-authorization program will be applied to in-network providers on fully funded plans only.  

The ANJC has been in contact with Aetna and NIA as well as several state associations where this process has been implemented and the ACA regarding these changes.  Please direct any questions or inquiries you have in this regard to ANJC Headquarters. We will continue to provide updates and advisories on this transition within Aetna.

Aetna and NIA are presenting educational webinars to providers on the new pre-authorization process.  The webinars will be held on:

Wednesday, Dec. 5^th at 12:00pm
Tuesday, Dec. 11^th at 8:00am
Wednesday, Dec. 12^th at 12:00pm
Thursday, Dec. 13^th at 12:00pm

For instructions on registering for one of these webinars, click here.