Aetna Better Health Inc., a Louisiana corporation Physician Group Agreement ChecklistPhysician Group Agreement • February 3rd, 2015 • Louisiana
Contract Type FiledFebruary 3rd, 2015 JurisdictionPage 1. The Group name that is filled in on the top of page one must match exactly with the name on the W9. Leave the effective date blank. This will be filled in by Aetna Better Health.