Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with SPRAVATO withMe Observation Rebate Program before sending sensitive documents. FaxFlow is not affiliated with this organization.
SPRAVATO withMe Observation Rebate Program fax number
(833) 512-0493
Observation Rebate Program
Used for: Submitting proof of provider payment and the completed Rebate Request Form for the SPRAVATO withMe Observation Rebate Program (rebate payments for treatment observation costs).
Fax destination details
- Department
- Observation Rebate Program
- Purpose
- Submitting proof of provider payment and the completed Rebate Request Form for the SPRAVATO withMe Observation Rebate Program (rebate payments for treatment observation costs).
- Form
- Rebate Request Form — SPRAVATO withMe Observation Rebate Program – Rebate Request Form
- Address
- 2250 Perimeter Park Drive, Suite 300, Morrisville, NC 27560
- Voice phone
- 844-4S-WITHME (844-479-4846)
- 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.
Submit proof of provider payment and the completed Rebate Request Form by fax to 833-512-0493, by mail to SPRAVATO withMe Observation Rebate Program, 2250 Perimeter Park Drive, Suite 300, Morrisville, NC 27560, or online at MyJanssenCarePath.com.
Sources and verification
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