Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Patient Access Network Foundation (PAN Foundation) before sending sensitive documents. FaxFlow is not affiliated with this organization.
Patient Access Network Foundation (PAN Foundation) fax number
(844) 726-4728
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
FaxFlow records the public sources found during directory research. A source link is useful evidence, but it is not a guarantee that a number still reaches the same team.
No public source link was saved with this record. Confirm the number directly with the organization before using it.