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Phone 1-855-232-3596 Fax 1-844-797-7601 Date of Request For urgent requests required within 24 hours call Aetna Better Health of New Jersey at 1-855-232-3596 Please note For non-urgent requests the turnaround time frame to review is 14 days MEMBER INFORMATION Name ID Number Date of Birth Member s Telephone Physician Name Other Insurance Gender circle one F M REQUESTING PHYSICIAN OR PROVIDER INFORMATION Referring Provider / Requesting Provider Place of Service or Facility Name If you are an...
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