You will be asked to provide the member’s location, physician name and contact information, and member information and contact details.
UI Step
On Call will notify the Aetna clinical team when a case is opened. On Call with verify benefits with Aetna and then On Call and Aetna will then meet daily to review and discuss updates, with email communication during the day as needed.
UI Step
On Call will request medical records from the treating physician and review them to assess medical necessity, confirm the member is receiving appropriate care, and determine whether a higher level of care is needed.
UI Step
If it is determined that the member requires a level of care not available in their current location, OC will identify the closest appropriate facility able to provide the needed treatment. The mode of transport will depend on the member’s medical condition and treatment needs and may include commercial air, air ambulance, or ground ambulance.