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Kaiser Permanente Medical Financial Assistance (MFA) Program fax number
(206) 877-0640
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Medical Financial Assistance (MFA) Program
Used for: Submitting MFA applications, appeals, and supporting documentation (by fax).
Fax destination details
- Department
- Medical Financial Assistance (MFA) Program
- Purpose
- Submitting MFA applications, appeals, and supporting documentation (by fax).
- Form
- Medical Financial Assistance Program Application — Medical Financial Assistance (MFA) Program Application
- Address
- Kaiser Permanente MFA Program, P.O. Box 34584, Seattle, WA 98124-1584
- Voice phone
- 1-800-442-4014 (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 out the MFA application and provide required income documentation; fax the completed application and any supporting documents to 206-877-0640. For appeals, use the Appeal Request form included with your award letter and submit via fax to the same number.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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