Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Centers for Medicare & Medicaid Services (CMS) – Medicare Secondary Payer Recovery / Non-Group Health Plan (NGHP) Recovery before sending sensitive documents. FaxFlow is not affiliated with this organization.
Centers for Medicare & Medicaid Services (CMS) – Medicare Secondary Payer Recovery / Non-Group Health Plan (NGHP) Recovery fax number
(833) 844-1540
Medicare Secondary Payer Recovery (MSPRP) / Non-Group Health Plan (NGHP) Recovery
Used for: Submitting Consent to Release (CTR) and/or Proof of Representation (POR) for NGHP Recovery; coordination of benefits requests; correspondence handling via mail or fax
Fax destination details
- Department
- Medicare Secondary Payer Recovery (MSPRP) / Non-Group Health Plan (NGHP) Recovery
- Purpose
- Submitting Consent to Release (CTR) and/or Proof of Representation (POR) for NGHP Recovery; coordination of benefits requests; correspondence handling via mail or fax
- Form
- Consent to Release (CTR) — Consent to Release (CTR) Model Language
- Address
- NGHP, P.O. Box 138832, Oklahoma City, OK 73113
- Voice phone
- 1-855-798-2627
- 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.
Fill beneficiary name, release recipient, and contact details; indicate who may receive information; specify duration; sign and date; submit to CMS NGHP with the provided PO Box or fax; see CMS CTR model language for exact fields
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
FaxFlow records the public sources found during directory research. A source link is useful evidence, but it is not a guarantee that a number still reaches the same team.
No public source link was saved with this record. Confirm the number directly with the organization before using it.