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Anthem fax number
(888) 562-5165
HIP Member Authorization
Used for: Submitting HIP member authorization/disclosure forms for the Healthy Indiana Plan (HIP)
Fax destination details
- Department
- HIP Member Authorization
- Purpose
- Submitting HIP member authorization/disclosure forms for the Healthy Indiana Plan (HIP)
- Form
- HIP member authorization form — HIP Member Authorization Form
- Address
- PO Box 62509, Virginia Beach, VA 23466
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- 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.
Submit signed HIP member authorization forms to Anthem's Member Privacy Unit. Fax: 888-562-5165. Mail to Anthem’s HIP Member Privacy Unit, PO Box 62509, Virginia Beach, VA 23466.
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