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CalViva Health fax number
(833) 701-0051
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Care Ride Unit (NEMT prior authorization)
Used for: Non-Emergency Medical Transportation (NEMT) prior authorization submission
Fax destination details
- Department
- Care Ride Unit (NEMT prior authorization)
- Purpose
- Non-Emergency Medical Transportation (NEMT) prior authorization submission
- Form
- Physician Certification Statement (PCS) — Non-Emergency Medical Transportation Physician Certification Statement (PCS)
- Address
- CalViva Health Administrative Office, 7625 N. Palm Ave., Suite 109, Fresno, CA 93711
- Voice phone
- 1-888-893-1569
- 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.
Fax the signed PCS form to Health Net's Care Ride Unit at 833-701-0051 to obtain NEMT authorization; the PCS form indicates medical necessity criteria and is valid for up to one year.
Official form instructions are published as a downloadable file on the organization's website.
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