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Get Exxonmobil Aetna Flexible Spend Form

Your claim submission is for more than three family members, please submit a separate claim form for the additional family members. - Explanation of Benefits (EOB) statement indicating amounts paid by the medical or dental plan. For HMO s, submit evidence of payment only. Call Aetna s Automated Voice Response Unit at 800-255-2386 to get instant account balance and claim payment information from 8:00 a.m. to 9:00 p.m. ET. - Copy of the copayment receipt from the provider when the copayment.

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