Directory information — verify before you send. This fax number was compiled by automated research from public sources. It may be out of date, incomplete, incorrect, or in rare cases wrong entirely, and it is not confirmed by EntyvioConnect Copay Program (administered by ConnectiveRx). Before sending anything sensitive, confirm the number and receiving department directly with EntyvioConnect Copay Program (administered by ConnectiveRx), and consider sending a test cover page first. FaxFlow is an independent directory, is not affiliated with, endorsed by, or sponsored by this organization, and accepts no liability for reliance on this listing.
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EntyvioConnect Copay Program (administered by ConnectiveRx) fax number
(844) 595-6272
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Copay Program Help Desk
Used for: Enrollment and submission of copay assistance and reimbursement requests for EntyvioConnect; fax documents to 1-844-595-6272 (Pay to Invoice and Copay Claim forms).
Fax destination details
- Department
- Copay Program Help Desk
- Purpose
- Enrollment and submission of copay assistance and reimbursement requests for EntyvioConnect; fax documents to 1-844-595-6272 (Pay to Invoice and Copay Claim forms).
- Form
- Pay to Invoice Request Form — EntyvioConnect Pay to Invoice Request Form
- Voice phone
- 1-800-352-2236
- 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.
Fax the completed Pay to Invoice Request Form along with required documents (CMS 1500/UB04, Explanation of Benefits, supplier invoice with Entyvio price, denial/appeal docs; include patient Copay Member ID when possible) to 1-844-595-6272.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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