Pay per submission with credits or a one-time card payment. Cost depends on patient or provider use and delivery method. No monthly subscription is required.
Medical office pricing per submission
Fax: 5 credits, or $4.99 by card when credits are insufficient.
Portal, phone or mail: 3 credits, or $2.99 by card when credits are insufficient.
Office approval is separate from payment. Personal and shared office credit balances are separate.
Prior authorization to Aetna
Aetna applies InterQual clinical criteria to most medical necessity reviews. Citing the specific InterQual criteria or peer-reviewed clinical guidelines in your notes — rather than a general summary — meaningfully improves first-pass approval rates. Urgent requests qualify for an expedited review track. A valid NPI is required on every submission; missing or invalid NPIs are among the most common reasons for immediate rejection.
Aetna
- PA Fax
- +18882324535
- PA Phone
- +18008722583
- Standard turnaround
- 3 business days
- Urgent turnaround
- 72 hours
Aetna requires NPI and member ID on all PA requests. Urgent requests expedited within 72 hours.
Aetna provider portal →What you'll need
- ☐Ordering provider NPI (required on every request)
- ☐Patient member ID
- ☐ICD-10 diagnosis code(s)
- ☐CPT procedure code(s)
- ☐Clinical notes establishing medical necessity
- ☐Auth number from original request (appeals only)
- ☐Treating provider contact information
▶▼Common denial reasons
- ⚠Lack of medical necessity — include clinical guidelines supporting the request
- ⚠NPI missing or invalid
- ⚠Procedure classified as experimental or investigational
- ⚠Failure to use preferred alternative when one exists
Verified 2026-05-20. Check payer site for current rules →
From $2.99 per submission
Sign up free — pay by card or credits.
⚠️ BAA required for PHI
Self-service FaxSeal is not authorized for PHI. Do not use this provider workflow for HIPAA-regulated PHI unless your organization has a countersigned Enterprise BAA and written implementation approval.
Checking payment return…