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Infertility Services Precertification Information …

Page 1 of 5 PCFXI nfertility ServicesPrecertification Information Request FormApplies to:Aetna plansInnovation Health plansHealth benefits and health insurance plans offered, underwritten and/oradministered by the following:Allina Health and Aetna Health Insurance Company (Allina Health | Aetna)Banner Health and Aetna Health Insurance Company and/or Banner Health and Aetna Health Plan Inc. (Banner | Aetna)Sutter Health and Aetna Administrative Services LLC (Sutter Health | Aetna)Texas Health + Aetna Health Plan Inc.

PCFX Infertility Services Precertification Information Request Form Applies to: Aetna plans . Innovation Health® plans . Health benefits and health insurance plans …

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