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BeneLynk fax number

(888) 236-8699

Enrollment / Benefits Advocacy

Used for: Medicaid enrollment documentation processing; submission of state Medicaid enrollment applications and related verifications, and receiving notices from the Medicaid agency.

Fax destination details

Department
Enrollment / Benefits Advocacy
Purpose
Medicaid enrollment documentation processing; submission of state Medicaid enrollment applications and related verifications, and receiving notices from the Medicaid agency.
Form
State Medicaid program application — State Medicaid program application (Medicaid enrollment form)
Address
1000 Sawgrass Corporate Pkwy, Suite 552, Sunrise, FL 33323
Voice phone
855-553-5104

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  • 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.

Complete the Medicaid enrollment form, designate BeneLynk as Authorized Representative, and submit supporting documents to the Medicaid agency via the BeneLynk fax number 888-236-8699; follow up with BeneLynk for any verifications.

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