Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with CerpassRx before sending sensitive documents. FaxFlow is not affiliated with this organization.

Healthcarehigh confidence

CerpassRx fax number

(469) 592-6460

Prior Authorization Department

Used for: Submitting prior authorization requests

Fax destination details

Department
Prior Authorization Department
Purpose
Submitting prior authorization requests
Form
Prior Authorization Form — CerpassRx Prior Authorization Form
Address
5904 Stone Creek Drive, Suite 120, The Colony, TX 75056
Voice phone
844-636-7506

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 out all applicable sections and attach supporting documentation (e.g., chart notes, lab data). Fax the completed form to 469-592-6460.

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.