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Inova Health System fax number
(571) 665-6895
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Rev Cycle Financial Assistance Department
Used for: Submitting the Inova Financial Assistance Application and required income/residency documentation for medical bill assistance.
Fax destination details
- Department
- Rev Cycle Financial Assistance Department
- Purpose
- Submitting the Inova Financial Assistance Application and required income/residency documentation for medical bill assistance.
- Form
- Application Form — Inova Financial Assistance Application (CAT # 31474)
- Address
- Inova Patient Financial Services, 8095 Innovation Park Drive, Fairfax, VA 22031
- Voice phone
- 571-472-5880
- 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 out the Financial Assistance Application and provide required income and residency documentation as outlined in Appendix C of the form; instructions are contained in the Application PDF.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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