Healthy Blue Atn Overpayment

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Overpayment Refund Notification Form - Healthy Blue Louisiana

(7 days ago) WebBLAPEC-0644-17 November 2017. For Healthy Blue to process an overpayment refund in a timely manner, please complete and submit this form with all refund checks and supporting documentation. If the refund check you are submitting is a Healthy Blue check, please …

https://provider.healthybluela.com/dam/publicdocuments/LALA_RefundNoticeForm_2.pdf?v=202101122212

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