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Mercy Health fax number

(417) 829-4604

Financial Assistance

Used for: Submitting Financial Assistance applications to Mercy Health.

Fax destination details

Department
Financial Assistance
Purpose
Submitting Financial Assistance applications to Mercy Health.
Form
Financial Assistance Application — Mercy Health Financial Assistance Application
Address
2115 S Fremont Avenue, Suite 5300, Springfield, MO 65804
Voice phone
855-420-7900

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.

Submit a Financial Assistance Application (written or verbal). See Mercy Health Financial Assistance policy for details; applications may be requested at a provider’s office or submitted via Mercy’s system; information available at www.mercy.net/fa.

Review official form instructions

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