How to Get Credentialed with Aetna in Montana
Quick Overview
Timeline
90 - 150 days
CAQH
Required
Re-credentialing
Every 3 year(s)
Delegated
Yes
Montana-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 Montana.
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.
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
Contact Information
Credentialing Status/Questions
National1-800-353-1232
Provider Relations
National1-800-441-5501
Mon-Fri 8am-7pm
ERA/EFT (Optum OPES)
NationalClaims Inquiry
National1-800-624-0756
Provider Appeals
NationalFax: 1-866-445-4387
Behavioral Health Credentialing
National1-888-632-3862