Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Desjardins Insurance (Desjardins Financial Security Life Assurance Company) before sending sensitive documents. FaxFlow is not affiliated with this organization.
Desjardins Insurance (Desjardins Financial Security Life Assurance Company) fax number
(877) 838-2134
Group Insurance – Health Claims (Prior Authorization)
Used for: Prior Authorization Request for Group Insurance – Health Claims (drug reimbursement)
Fax destination details
- Department
- Group Insurance – Health Claims (Prior Authorization)
- Purpose
- Prior Authorization Request for Group Insurance – Health Claims (drug reimbursement)
- Form
- PAR_10133E — Group Insurance – Health Claims Prior Authorization Request
- Address
- Desjardins Insurance, C.P. 3950, Lévis, Québec G6V 8C6, Canada
- Voice phone
- 1-844-410-6485
- 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.
Please read the instructions on the back of the form. The member fills sections A and B; the physician completes section C; then submit by fax to 418-838-2134 or 1-877-838-2134, or by mail to Desjardins Insurance, Group Insurance, Health Claims.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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