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MedStar Family Choice District of Columbia (MFC-DC) fax number

(202) 243-6307

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Utilization Management

Used for: Non-pharmacy prior authorization requests and utilization management submissions; Uniform Consultation Referral Form submissions

Fax destination details

Department
Utilization Management
Purpose
Non-pharmacy prior authorization requests and utilization management submissions; Uniform Consultation Referral Form submissions
Form
Prior Authorization Non-Pharmacy & DME Request Form; Uniform Consultation Referral Form — Prior Authorization Non-Pharmacy & DME Request Form; Uniform Consultation Referral Form
Address
MedStar Family Choice DC Provider Relations, 3007 Tilden St., NW, POD 3N, Washington, DC 20008

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All requests must be accompanied by medical records to support the request. If medical records are incomplete, the request is subject to denial. For Non-Pharmacy requests, fax to 202-243-6307; Uniform Consultation Referral Form is used for referrals.

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