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 It may be out of date, incomplete, incorrect, or in rare cases wrong entirely, and it is not confirmed by Patient Access Network Foundation (PAN Foundation). Before sending anything sensitive, confirm the number and receiving department directly with Patient Access Network Foundation (PAN Foundation), 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.
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Patient Access Network Foundation (PAN Foundation) fax number
(844) 726-4728
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Medical Claims
Used for: Submitting medical expense claims and reimbursement requests to PAN Foundation (medical claims).
Fax destination details
- Department
- Medical Claims
- Purpose
- Submitting medical expense claims and reimbursement requests to PAN Foundation (medical claims).
- Form
- Direct Member Reimbursement Form (DMR) — Direct Member Reimbursement Form
- Address
- PAN Foundation, PO Box 2955, Clinton, IA 52733
- Voice phone
- 1-866-316-7263
- 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.
Fill out patient details and PAN ID; attach required documents (HCFA-1500/UB-04/UB-92 and EOB as applicable); indicate claim details; fax the form with the PAN Medical Claims Fax Cover Sheet to 844-726-4728.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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