How to Get Credentialed with Aetna in Georgia
Quick Overview
Timeline
90 - 150 days
CAQH
Required
Re-credentialing
Every 3 year(s)
Delegated
Yes
Georgia-Specific Requirements
Step-by-Step Enrollment Process
Gather Required Documents
Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for Georgia.
Complete Your CAQH ProView Profile
Aetna requires a current CAQH ProView profile. Create or update your profile at proview.caqh.org and attest within 120 days.
Submit Your Application
Submit your completed enrollment package to Aetna. You can start the process at their enrollment portal.
Track & Follow Up
Credentialing typically takes 90-150 days. Monitor your application status and respond promptly to requests for additional information.
Free Consultation
Need help enrolling with Aetna?
Our specialists handle the entire Aetna enrollment process: applications, follow-ups, and approvals in Georgia.
Required Documents Checklist
Board Certification
ConditionalRequired if board certified; highly recommended
CV/Resume
5-year work history minimum; gaps > 6 months must be explained
DEA License
ConditionalRequired if prescribing controlled substances
Malpractice Insurance
Medical Degree
Medical License
NPI Certificate
Professional Photo
Provider headshot photo for directory
Professional Reference
3 peer references required
W9_FORM
Required for EFT/tax reporting setup
Enrollment Forms
Free Tools for Your Aetna Enrollment
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Key Credentialing Terms
- CAQH
- The Council for Affordable Quality Health Care, an organization that maintains a universal provider database (CAQH ProVi...
- Credentialing
- The process of verifying a healthcare provider's qualifications, training, licensure, and professional background to ens...
- Effective Date
- The date on which a provider's enrollment or network participation becomes active, allowing them to begin billing a paye...
- NPI
- The National Provider Identifier is a unique 10-digit identification number issued by CMS to healthcare providers, requi...
- Primary Source Verification
- The process of verifying a provider's credentials directly from the original issuing source, such as medical schools, li...
- Provider Enrollment
- The process by which a healthcare provider applies to participate in an insurance payer's network, allowing the provider...
- Re-credentialing
- The periodic process, typically occurring every three years, in which a provider's credentials are re-verified to ensure...
Credentialing Checklist
Make sure you have everything ready before applying to Aetna.
View Physician Credentialing Checklist →Contact Information
Credentialing Status/Questions
National1-800-353-1232
Provider Relations
National1-800-441-5501
Mon-Fri 8am-7pm
ERA/EFT (Optum OPES)
National1-800-353-1232
Claims Inquiry
National1-800-624-0756
Provider Appeals
National1-800-353-1232
Fax: 1-866-445-4387
Behavioral Health Credentialing
National1-888-632-3862
Quick Links
Aetna in Other States
Reviewed by the PayerReady Credentialing Team
Our credentialing specialists verify every article against current CMS regulations, NCQA standards, and payer-specific enrollment requirements. See our editorial process.