Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Kaiser Permanente Medical Financial Assistance (MFA) Program before sending sensitive documents. FaxFlow is not affiliated with this organization.
Kaiser Permanente Medical Financial Assistance (MFA) Program fax number
(206) 877-0640
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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No public source link was saved with this record. Confirm the number directly with the organization before using it.