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2400 Veterans Memorial Blvd. Suite 200 Kenner LA 70062 Phone 1-855-242-0802 AETNA BETTER HEALTH OF LOUISIANA Participating provider dispute form Mail and / or fax dispute to Aetna Better Health of Louisiana a Bayou Health plan Provider Services Department Attention Provider Dispute Fax 1-860-607-7657 Provider Information required Provider name Submitter s name Provider street address Provider city state ZIP Provider phone number Member Information required Member name Member ID Claim dispute...
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