Directory information — verify before you send. This fax number was compiled by automated research from public sources. It may be out of date, incomplete, incorrect, or in rare cases wrong entirely, and it is not confirmed by Managed Health Services Indiana (MHS Indiana). Before sending anything sensitive, confirm the number and receiving department directly with Managed Health Services Indiana (MHS Indiana), and consider sending a test cover page first. FaxFlow is an independent directory, is not affiliated with, endorsed by, or sponsored by this organization, and accepts no liability for reliance on this listing.
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Managed Health Services Indiana (MHS Indiana) fax number
(866) 912-1629
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Member Services
Used for: Submission of member-related forms and communications; commonly used for disenrollment requests and other member-service communications.
Fax destination details
- Department
- Member Services
- Purpose
- Submission of member-related forms and communications; commonly used for disenrollment requests and other member-service communications.
- Form
- Disenrollment form — Request for Member Disenrollment Form
- Address
- 1099 N. Meridian Street, Suite 400, Indianapolis, IN 46204
- Voice phone
- 1-877-647-4848
- 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.
Fax the completed disenrollment form to MHS Member Services at 1-866-912-1629.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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