Steps to ensure your Medicare clients are assigned the correct primary care provider

To make sure your Aetna Medicare clients are assigned the correct primary care provider (PCP), there are a few critical items that must be included on the enrollment application for both paper and electronic enrollments.

When completing a paper or electronic enrollment, make sure to:

  1. Fill in the Provider ID. This is a 7-digit number that you can find in the provider directory.
     
  2. Fill in the Primary Care ID (e.g., Primary Care Provider ID). This is a 6-digit number that you can find in the provider directory.


IMPORTANT: We need both numbers to identify the requested PCP. If either code is missing, we will automatically assign your client an alternative PCP.
  1. Check the Existing Patient checkbox if your client is an existing patient of the provider.

    If this box is not checked, and the provider is only taking existing patients, your client will be assigned a different in-network PCP. 

Example for a paper application:

Example for an electronic application in Ascend: 

Questions?

Thanks in advance for your help ensuring members are assigned the correct PCP and Medical Group/IPA. If you have any questions, please contact your local Aetna Medicare Broker Manager for assistance.
Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies, including Aetna Life Insurance and its affiliates (Aetna).

Prior to engaging in the sale of Aetna Medicare products, producers must be ready to sell, which means certified, contracted, licensed in the applicable states, and appointed by Aetna in accordance with state law. As permitted in certain states, Aetna will order appointments after the first sale. This communication is intended for use by brokers only and is not intended for distribution to Medicare beneficiaries. Any publication or distribution of this communication to unauthorized recipients without Aetna’s approval is prohibited.

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