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 It may be out of date, incomplete, incorrect, or in rare cases wrong entirely, and it is not confirmed by Mississippi Division of Medicaid. Before sending anything sensitive, confirm the number and receiving department directly with Mississippi Division of Medicaid, 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.
This appears to be a tax or government destination. These numbers change frequently and vary by form, state, and office. Confirm the current number on the official IRS or .gov page before sending — a misdirected filing can expose your SSN and miss a deadline.
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Mississippi Division of Medicaid fax number
(228) 762-7309
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Division of Medicaid
Used for: Outstation communications with the Mississippi Division of Medicaid; used for submitting Administrative/Claim documents, including Adjustment/Void Requests to the Pascagoula Regional Office.
Fax destination details
- Department
- Division of Medicaid
- Purpose
- Outstation communications with the Mississippi Division of Medicaid; used for submitting Administrative/Claim documents, including Adjustment/Void Requests to the Pascagoula Regional Office.
- Form
- Adjustment/Void Request — Submission of Adjustment/Void Request
- Address
- Pascagoula Regional Office, 1702 Denny Ave, Pascagoula, MS 39567
- Voice phone
- (228) 762-9591
- 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.
When submitting an Adjustment/Void request, complete boxes 1 through 6 on the Adjustment/Void request form for proper processing. If filing for an adjustment with or without a returned check to Medicaid, attach a corrected claim and any other appropriate documentation that will aid in properly processing your request.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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