Stars Pro Aetna Credentialing & Enrollment Services
Tired of Aetna’s lengthy credentialing process delaying your reimbursements? Our experts handle everything from application to approval, ensuring no missed steps or denials, so you can start billing Aetna faster. Our specialists know the complex requirements like CAQH updates, payer-specific forms, and contract negotiations to maximize your in-network revenue. Stop losing time to paperwork—let Stars Pro streamline your Aetna enrollment so you can focus on patient care!
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What Differentiate Us from other Aetna Enrollment Service Providers?
When a provider first applies, we go through an initial credentialing process, and then we go through a re-credentialing procedure at fixed schedule intervals after that. We adhere to guidelines established by organizations.
The Benefits of Being a Participating Provider
Why should healthcare providers have been gone through credentialing? Here are some of the benefits of being an Aetna participating provider:
- They are listed in Aetna online provider directory.
- Aetna members can locate them, but so can other providers who want to refer to them.
- Healthcare professionals have access to our members may result in more patients for them – and more revenue for you.
What does our Aetna Credentialing company do?
Our Aetna provider enrollment specialists manage CAQH updates, payer-specific forms, and compliance requirements, ensuring a seamless path to Aetna approval while you focus on patient care.
Our Aetna provider enrollment specialists manage CAQH updates, payer-specific forms, and compliance requirements, ensuring a seamless path to Aetna approval while you focus on patient care.
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What Makes Us a Good Aetna Credentialing company?
At Stars Pro, our 15+ years of Aetna credentialing expertise ensures your provider enrollment is error-free and efficient—avoiding costly delays that hurt cash flow. We don’t just submit paperwork; we strategically navigate Aetna’s requirements, from CAQH updates to contract optimization, so you get in-network faster with higher reimbursements. Our dedicated specialists act as an extension of your team, handling every detail so you can focus on patients, not paperwork.
What truly sets us apart? Proven results—we’ve helped hundreds of providers secure Aetna approval while minimizing denials and maximizing revenue cycles. With real-time tracking and transparent communication, you’ll always know your enrollment status—no surprises, just smooth, Aetna-compliant credentialing. Whether you’re a solo practitioner or a multi-specialty group, Stars Pro delivers the fastest, most reliable path to in-network status with Aetna.
How to Choose an Aetna Credentialing Company?
Selecting the right Aetna credentialing company ensures faster approvals, fewer denials, and seamless billing. Look for expertise in CMS requirements, payer-specific rules, and a proven track record in DME enrollment.
- 1. Ensure they grasp Aetna’s unique requirements (e.g., CAQH, provider taxonomy codes) and align with your practice’s enrollment goals.
- 2. Ask for their Aetna approval success rate and average timeline, experience matters for avoiding costly delays.
- 3. Avoid surprises; demand upfront pricing (flat fee vs. hourly) and ask if re-submissions or appeals cost extra.
- 4. Request testimonials or case studies from Aetna-enrolled providers to verify reliability and results.
- 5. They should openly share their process for application tracking, denial resolution, and contract negotiations—no vague promises.
What Questions to Ask an Aetna Credentialing or Provider Enrollment Company?
- 1. What is your average turnaround time for Aetna provider approvals, and how do you handle delays or denials
- 2. Can you walk me through your process for CAQH updates, Aetna-specific forms, and contract negotiations
- 3. Do you provide real-time tracking or updates during the enrollment process?
- 4. Can you share references from recently Aetna-approved providers in my specialty?
What Are Aetna Credentialing Requirements?
Provider Eligibility & Documentation
Aetna requires an active, state-specific medical license and NPI number (Type 1 for individual providers, Type 2 for groups). DEA registration is mandatory for prescribers, with some states requiring additional controlled substance permits.
CAQH Profile Enrollment
Over 95% of payers, including Aetna, use CAQH ProView for credentialing. Providers must complete all sections (education, work history, malpractice) and re-attest every 120 days to avoid enrollment delays.
Malpractice Insurance Verification
Aetna typically requires 1M/1M/3M malpractice coverage, with higher limits for surgical specialties. They verify active policies and may request claims history for high-risk providers.
Aetna-Specific Application & Contracts
Aetna's enrollment process includes a separate provider agreement (often 25+ pages) with critical reimbursement terms. Errors in tax ID or group structure details cause 30% of application rejections.
Primary Source Verification
Aetna cross-checks credentials with NPDB, state boards, and education institutions. Missing residency logs or expired licenses account for 45-day+ processing delays in 20% of applications.
Site Accreditation (For Facilities)
Ambulatory surgery centers and labs must maintain CLIA, AAAHC, or Joint Commission accreditation. Aetna conducts physical site visits for 15% of new facility enrollments.
Why Choose Stars as Your Aetna Credentialing & Re Credentialing Company?
With 15+ years of specialized Aetna enrollment expertise, Stars Pro eliminates the headaches of credentialing—reducing approval times by 40% compared to industry averages. We don’t just submit paperwork; we strategically navigate Aetna’s unique requirements, from CAQH quirks to contract negotiations, ensuring you avoid the 68% of delays caused by common errors. Our end-to-end management means you’ll get in-network faster with optimized payer contracts that protect your reimbursements.
What truly sets us apart? Proactive re-credentialing that prevents lapses—we track deadlines 6 months in advance and handle all updates, from license renewals to malpractice renewals. While others charge for re-submissions, our flat-fee model includes unlimited corrections, and we provide real-time dashboards so you’re never in the dark. Whether you’re a solo practitioner or multi-state group, Stars Pro delivers Aetna-compliant precision so you can focus on patients, not paperwork.
FAQ! NEED HELP?
Being credentialed with DME insurance companies means that healthcare specialists are able to see patients who have specific DME insurance plans and bill those DME insurance companies directly for the services render. This can greatly increase the number of DME patients who can access your DME services.
The DME insurance credentialing process is simple, our experts will take your documents and insurance company will verify your qualifications and background to join a network of approved DME specialists in the USA.
Yes. When you sign up for DME medical credentialing with Stars Pro, you get to choose exactly which DME insurance company you want, to be credentialed in the USA. Most popular DME insurance companies, are DME Medicare, DME Humana, DME Cigna and DME united healthcare insurance.
We have any expert DME credentialing team. One of our DME credentialing specialists will talk with you by phone and can help you to select the DME insurance companies in your area that will be the best fit for your healthcare practice.
The popularity of DME insurance companies varies depending on state and city. However, some of the most popular DME insurance companies are Aetna DME, Cigna DME, Humana DME, United Healthcare DME and many others.
We have credentialed literally hundreds of specialists DMEs across the United States. No matter where your DME clinic is, we have the experience and knowledge needed to get you credentialed with DME insurances.
Stars Pro has an expert DME credentialing team, and we charge per DME insurance panel. Healthcare providers across the nation trust us and we do not have any start up fees, and no hidden charges for your initial credentialing. Call our Business Development Office at 732-523-4633 to get a free quote.
DME specialists need to be credentialed at least every two to three years.