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Desjardins Insurance (Desjardins Financial Security Life Assurance Company) fax number
(877) 838-2134
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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.
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