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1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out all sections marked with 'M'. These are mandatory and must be completed to avoid processing delays.
3. For personal details, enter the full name of the payee, Aetna ID number, date of birth, and contact information accurately.
4. In the reimbursement details section, choose your preferred method of reimbursement (bank transfer or cheque) and provide necessary bank details if applicable.
5. Complete the claim details by entering service dates, claimed amounts, and descriptions of services received. Ensure all relevant medical information is included.
6. Finally, sign and date the authorization section to confirm that all provided information is accurate before submitting your claim.

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