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Independent Health fax number

(716) 635-3890

Provider Inquiries / COB Inquiries

Used for: Provider payment disputes; COB inquiries

Fax destination details

Department
Provider Inquiries / COB Inquiries
Purpose
Provider payment disputes; COB inquiries
Form
Provider Payment Dispute Form — Provider Payment Dispute Form
Voice phone
716-631-3001

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.

Submit this form to provider-inquiries@independenthealth.com or fax to 716-635-3890. Do not use this form for first-time claim submissions. Include any required supporting documentation as indicated on the form.

Official form instructions are published as a downloadable file on the organization's website.

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