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What has changed on the Aetna Payer Sheet?

April 26, 2017Aetna changed payer Sheet

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What has changed on the Aetna Payer Sheet?

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The payer sheet has been updated to indicate our preference to accept the NPI Provider Qualifier and ID as well as the Prescriber NPI Qualifier and ID. How will Aetna be notified of my pharmacys NPI? Aetna receives weekly files from NCPDP which include the pharmacy NPI for those pharmacies who have been assigned an NPI. You may confirm your NPI number is on file directly with Aetna Pharmacy Management by: • Emailing the NPI information to RxNewProvider@aetna.com, or • Faxing to 860-273-4876, Attention: Provider Enrollment. The e-mail or fax should include the Pharmacy Name, NCPDP and NPI numbers, Address, Phone Number, Fax Number, and any other relevant information regarding the update. If neither e-mail nor fax is available, contact Aetna Pharmacy Managements Provider Help Line for assistance. How will I know if Aetna has my NPI? In order to meet HIPAA requirements, Aetna prefers to receive the pharmacy NPI on all electronic claim transactions. Aetna will receive NPI data on the NCPDP