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Verisys fax number

(866) 293-0421

Credentialing / Provider Enrollment

Used for: Provider credentialing submission and document verification (facility/provider credentialing) via fax, portal upload, or email

Fax destination details

Department
Credentialing / Provider Enrollment
Purpose
Provider credentialing submission and document verification (facility/provider credentialing) via fax, portal upload, or email
Address
Verisys, P.O. Box 221049, Louisville, KY 40252-1049
Voice phone
1-855-743-6161

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.

Fax credentialing documents to 866-293-0421 with the bar-coded cover letter; you may also upload via the secure submission site or email TAHPapps@verisys.com using the bar-coded letter as the top page. Mail to Verisys, P.O. Box 221049, Louisville, KY 40252-1049.

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

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