Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with HealthWell Foundation before sending sensitive documents. FaxFlow is not affiliated with this organization.
HealthWell Foundation fax number
(800) 282-7692
Grant, Claims & Pharmacy Card inquiries
Used for: Submission of HealthWell copayment assistance grant applications and related documentation, including reimbursement forms and claims for copayments and premiums.
Fax destination details
- Department
- Grant, Claims & Pharmacy Card inquiries
- Purpose
- Submission of HealthWell copayment assistance grant applications and related documentation, including reimbursement forms and claims for copayments and premiums.
- Form
- Reimbursement Form — Reimbursement Request Form – Copayment (HealthWell Copayment Reimbursement Request Form)
- Address
- 20440 Century Blvd., Suite 250, Germantown, MD 20874
- Voice phone
- (800) 675-8416
- 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 patient information, HealthWell Identification Number, and billing details; select recipient (clinic/hospital/patient/pharmacy); upload supporting docs; submit via HealthWell Portals or fax to 800-282-7692.
Review official form instructionsSources and verification
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