Aetna Provider Last Name Change Guide™

A simple, step-by-step guide for submitting and following up on a provider legal last name change with Aetna.

This payer-specific guide walks through preparing the name-change request, submitting supporting documentation, faxing the request to Aetna, following up with Credentialing, and verifying the update was completed.

Includes:

• Aetna name-change submission instructions

• Information to include in the request

• Supporting documentation guidance

• Current fax & follow-up information

• What to ask when following up

• Final verification & documentation reminders

Designed for ABA, behavioral health, and therapy practices looking for a quick, organized process for managing provider name changes with Aetna.

Please note: This guide is specific to Aetna. The general Provider Last Name Change Guide™ and guides for other insurance payers are sold separately.

Last Reviewed: August 2026