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
(877) 899-5635
Medical Financial Assistance (MFA) Program
Used for: Submitting Medical Financial Assistance applications and related documents by fax
Fax destination details
- Department
- Medical Financial Assistance (MFA) Program
- Purpose
- Submitting Medical Financial Assistance applications and related documents by fax
- Address
- Kaiser Permanente MFA Program, Nine Piedmont Center, 3495 Piedmont Rd., NE, Atlanta, GA 30305-1736
- Voice phone
- 404-949-5112
- 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.
Complete the MFA application and fax it with income verification and any requested documents. On the first page of your income verification, include: your full name, medical record number (if applicable), home address, and date of birth. Fax to 1-877-899-5635; or mail to Kaiser Permanente MFA Program, Nine Piedmont Center, 3495 Piedmont Rd., NE, Atlanta, GA 30305-1736.
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