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Acumen Fiscal Agent fax number

(855) 295-9075

CD-PASS Enrollment/Employer Services (Oklahoma)

Used for: Submitting OK CD-PASS enrollment, change, and payroll forms to Acumen via fax.

Fax destination details

Department
CD-PASS Enrollment/Employer Services (Oklahoma)
Purpose
Submitting OK CD-PASS enrollment, change, and payroll forms to Acumen via fax.
Form
OK CD-PASS Member Change Information Form — OK CD-PASS Member Change Information Form
Address
6525 N Meridian Ave, Suite 250, Oklahoma City, OK 73116; 4867 S Sheridan Rd, Ste 711, Tulsa, OK 74145
Voice phone
877-594-0966

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  • Check the organization website or call its main line for the current fax number.
  • Include a cover sheet and any case, member, claim, or form reference required.
  • Keep the delivery confirmation with your submission records.

Complete the form to update member/employer information; return by mail, fax, or email to Acumen as directed on the form.

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