Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Maryland Physicians Care before sending sensitive documents. FaxFlow is not affiliated with this organization.

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Maryland Physicians Care fax number

(866) 831-0790

Member Appeals

Used for: Submit an Authorized Representative for Member Appeal Form via mail or fax to MPC; the form is used when an authorised representative acts on behalf of a member in an appeal.

Fax destination details

Department
Member Appeals
Purpose
Submit an Authorized Representative for Member Appeal Form via mail or fax to MPC; the form is used when an authorised representative acts on behalf of a member in an appeal.
Form
Authorized Representative for Member Appeal Form — Authorized Representative for Member Appeal Form
Address
1201 Winterson Road, 4th Floor, Linthicum, MD 21090
Voice phone
1-800-953-8854

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 form with member and representative information and service under appeal; mail to MPC at P.O. Box 893, Portland, ME 04104 or fax to 866-831-0790.

Official form instructions are published as a downloadable file on the organization's website.

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