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CerpassRx fax number
(469) 592-6460
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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
- 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 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
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