Aetna Pre-Qualification | Arizona Relationship Institute

Aetna Insurance Pre-Qualification

Check to See If Your Aetna Insurance will Cover Your Therapy at AZRI

Simply fill our the form below to start the process for prequalification. We strive to return a quick an answer quickly, but please allow 3-5 business days for pre-qualification. Contact us if you have questions or would like to submit this information in a different way. However, using this form for pre-qualification will speed up the process.

First Name:

Last Name:

Email:

Date of Birth:

Your Phone Number:

Best Time to Contact You:

Your Address:

City:

State:

Zip Code:

Find Your Aetna Policy, Member ID, and Group Number on your statement of benefits or your policy card.

AETNA Policy or Member ID:

AETNA Group Number #:

For the next section, you will need to locate the Customer Service Benefits Phone Number on your policy card and give that number to us.
NOTE - It may also say: "Provider Services" or "Mental Health Services." We need to gather the phone number used to inquire about your benefits.
If you can't locate the phone number, upload a copy of your policy and we will identify the number or follow up for you.

Customer Service Benefits Phone Number:

Treatment Goals:

OPTIONAL PARTNER / SPOUSE INFORMATION

The following fields are optional, but if you are planning to undergo therapy with a partner or spouse, please include your PARTNER / SPOUSE information below.

Your Partner / Spouse First Name (Optional):

Your Partner / Spouse Last Name (Optional):

Your Partner Email (Optional):

Your Partner / Spouse Phone Number (Optional):

Consent to Receive Communications (REQUIRED):

By Opting to receive Phone Calls and text messages through form submissions, you agree to receive text messages from The Arizona Relationship Institute (AZRI) related to any communication we deem necessary. Message & data rates may apply. Message frequency varies. Carriers are not liable for delayed or undelivered messages. Reply HELP for help and STOP to cancel. View Terms of Service and Privacy Policy

(480) 788-5069

Aetna Insurance Pre-Qualification

Check to See If Your Aetna Insurance will Cover Your Therapy at AZRI

Contact Us Today to Set Up an Appointment:

Call Us to Schedule an Appointment:

(480) 788-5069

Appointments Available Monday Through Saturday:

Location:
7565 East Eagle Crest Drive
Suite 201 (Top Floor)
Mesa, AZ 85207

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