Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Independence Blue Cross (IBX) before sending sensitive documents. FaxFlow is not affiliated with this organization.
Independence Blue Cross (IBX) fax number
(215) 241-2042
Member Correspondence
Used for: Authorization to Disclose Health Information
Fax destination details
- Department
- Member Correspondence
- Purpose
- Authorization to Disclose Health Information
- Form
- Authorization to Disclose Health Information — Authorization to Disclose Health Information Form
- Address
- P.O. Box 41890, Philadelphia, PA 19101-1890
- Voice phone
- 1-800-275-2583 (ASK-BLUE); TTY 711
- 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 in member information, indicate the recipient, choose the information to be released, sign and date, and return to Member Correspondence. Fax the completed form to 215-241-2042 or mail it to P.O. Box 41890, Philadelphia, PA 19101-1890.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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