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

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Elevance Health, Inc. fax number

(888) 438-5207

LOA/Accommodations team (Workplace Possibilities Program)

Used for: Submitting Health Care Provider Accommodation Form for Elevance Health's Workplace Possibilities Program; may require an Authorization to Obtain and Release Health Information.

Fax destination details

Department
LOA/Accommodations team (Workplace Possibilities Program)
Purpose
Submitting Health Care Provider Accommodation Form for Elevance Health's Workplace Possibilities Program; may require an Authorization to Obtain and Release Health Information.
Form
Health Care Provider Accommodation Form — Health Care Provider Accommodation Form (Workplace Possibilities Program)
Address
220 Virginia Avenue, Indianapolis, IN 46204
Voice phone
833-401-1577

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 the provider and employee details, obtain signatures, and fax the completed form to 888-438-5207 addressed to the LOA/Accommodations team. If required, include the Authorization to Obtain and Release Health Information.

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