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Aetna Facility Form

Aetna Facility Form

Create a custom aetna better health application 0 that meets your industry’s specifications.

Completion of this application does not guarantee participation in the Aetna Better Health network. TO BE CONTRACTED, YOU MUST: HAVE AN NPI NUMBER, BE REGISTERED WITH [MEDICAID] AGENCY, (if applicable), BE ELIGIBLE TO PARTICIPATE IN MEDICARE, and PARTICIPATE WITH ALL Aetna Better Health LINES OF BUSINESS, and preferably SUBMIT CLAIMS ELECTRONICALLY and HAVE INTERNET ACCESS. Please complete and submit the information requested in its entirety (including this letter) via fax to 1-860-754-5435 or...
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