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 It may be out of date, incomplete, incorrect, or in rare cases wrong entirely, and it is not confirmed by Penn Treaty Network America Insurance Company (In Rehabilitation) / American Network Insurance Company (In Rehabilitation). Before sending anything sensitive, confirm the number and receiving department directly with Penn Treaty Network America Insurance Company (In Rehabilitation) / American Network Insurance Company (In Rehabilitation), 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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Penn Treaty Network America Insurance Company (In Rehabilitation) / American Network Insurance Company (In Rehabilitation) fax number

(610) 965-6962

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Claims Department

Used for: Submitting initial long-term care insurance claim documents; faxing facility certification for initial claim to Penn Treaty Claims Department.

Fax destination details

Department
Claims Department
Purpose
Submitting initial long-term care insurance claim documents; faxing facility certification for initial claim to Penn Treaty Claims Department.
Form
FCC IR 12/09 — Facility Certification of Care for Initial Claim
Address
Attn: Claims Department, P.O. Box 7066, Allentown, PA 18105-7066
Voice phone
1-800-362-0700

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  • 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 facility and resident information as required (facility name, address, provider details, resident information, etc.), attach required documents (physician orders, nursing assessments, state licenses, W-9, resident agreement, itemized bill, Medicare EOBs if applicable), and fax to 610-965-6962.

Official form instructions are published as a downloadable file on the organization's website.

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