Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Matrix Absence Management, Inc. before sending sensitive documents. FaxFlow is not affiliated with this organization.
Matrix Absence Management, Inc. fax number
(877) 788-9736
FMLA/Leave of Absence Administration
Used for: Submit medical certification form from the health care provider to Matrix Absence Management to initiate/maintain FMLA/medical leave processing.
Fax destination details
- Department
- FMLA/Leave of Absence Administration
- Purpose
- Submit medical certification form from the health care provider to Matrix Absence Management to initiate/maintain FMLA/medical leave processing.
- Form
- FMLA medical certification form — FMLA medical certification form (medical certification for leave of absence)
- Voice phone
- 877-202-0055
- 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.
Provide a completed medical certification form from the health care provider to Matrix Absence Management as part of the leave filing process.
Sources and verification
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