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Aetna Better Health 2777 Sermons Fry, Suite 1450 Dallas, TX 75207 18003068612 Fax 18555968401Instructions for Electronic Funds Transfer (EFT) Enrollment/Change/Cancellation Page 1 Please use this
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The TX DSNP EFT authorization is a form used to authorize electronic fund transfers for Texas Dual Special Needs Plans.
Healthcare providers and facilities that are enrolled in Texas Dual Special Needs Plans are required to file the TX DSNP EFT authorization.
The TX DSNP EFT authorization form can be filled out by providing all the required information, such as the provider's name, address, banking information, and signature.
The purpose of the TX DSNP EFT authorization is to facilitate electronic fund transfers for payments related to Texas Dual Special Needs Plans.
The TX DSNP EFT authorization form requires information such as the provider's name, contact information, banking details, and authorization for electronic fund transfers.
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