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NC Medicaid Ombudsman fax number

(984) 260-9015

NC Medicaid Ombudsman Office, North Carolina Department of Health and Human Services

Used for: Grievance submission and related document handling for NC Medicaid beneficiaries; the fax number serves as a channel to submit grievance-related materials to the NC Medicaid Ombudsman.

Fax destination details

Department
NC Medicaid Ombudsman Office, North Carolina Department of Health and Human Services
Purpose
Grievance submission and related document handling for NC Medicaid beneficiaries; the fax number serves as a channel to submit grievance-related materials to the NC Medicaid Ombudsman.
Form
Complaint Form — NC Medicaid Ombudsman Complaint Form
Address
319 Chapanoke Road, Suite 108, Raleigh, NC 27603, United States
Voice phone
1-877-201-3750

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.

Fill out the NC Medicaid Ombudsman Complaint Form and attach supporting documents; submit via mail, fax, or online per the form's instructions. The form is available through the NC Medicaid Ombudsman site.

Review official form instructions

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