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 It may be out of date, incomplete, incorrect, or in rare cases wrong entirely, and it is not confirmed by Imperial Health Plan of California, Inc.. Before sending anything sensitive, confirm the number and receiving department directly with Imperial Health Plan of California, Inc., 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.
This appears to be a financial, insurance, or legal destination. Documents sent here may contain account numbers, SSNs, or privileged information. Confirm the current number and department directly with the organization before sending, and keep your transmission confirmation.
Represent Imperial Health Plan of California, Inc.? Request a correction or removal. By using this directory you agree to our Fax Directory Terms.
Imperial Health Plan of California, Inc. fax number
(626) 380-9066
Wrong or outdated? Report this number
Enrollment Department
Used for: Submitting the Provider Attestation of Patient Diagnosis for SSBCI Eligibility form (and other enrollment-related paperwork) to Imperial Health Plan's Enrollment Department.
Fax destination details
- Department
- Enrollment Department
- Purpose
- Submitting the Provider Attestation of Patient Diagnosis for SSBCI Eligibility form (and other enrollment-related paperwork) to Imperial Health Plan's Enrollment Department.
- Form
- SSBCI Eligibility Attestation — Provider Attestation of Patient Diagnosis for SSBCI Eligibility
- Address
- PO BOX 60874, Pasadena, CA 91116
- Voice phone
- 1-800-838-5914
- 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.
Complete beneficiary information, diagnosis codes, and provider attestation; have the provider sign and date; fax the completed form to 626-380-9066 and mail to the Enrollment Department.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
FaxFlow records the public sources found during directory research. A source link is useful evidence, but it is not a guarantee that a number still reaches the same team.
No public source link was saved with this record. Confirm the number directly with the organization before using it.