Just The Fax

Free Insurance Fax Cover Sheet

Built for the loop between patients, providers, and insurers. Includes fields for claim number, member ID, and date of service so the insurer can route it without calling anyone.

Fill in your cover sheet

Send a fax (free cover page included)

Common uses

  • Prior authorization requests
  • Claims appeals and dispute letters
  • Medical necessity documentation
  • Coordination of benefits paperwork
  • Step therapy exception requests

Tips

  1. 1Include the claim number, member ID, and date of service in the subject or message field -- without these, claims staff cannot match your fax to an account.
  2. 2Attach the original denial letter when faxing an appeal. Most insurers require it.
  3. 3Prior authorization requests can take days to process. Send early and follow up proactively.

Frequently asked questions

What fax number do I use for insurance claims?

The fax number for claims and prior authorizations is on the back of your insurance card or in the provider relations section of the insurer's website. Our insurance directory lists fax numbers for major insurers.

How do I track whether my fax was received by the insurer?

Request a delivery confirmation when sending. Follow up by phone 24-48 hours later with the confirmation number and date of transmission. Insurers process high volumes and misdirected faxes do happen.

Can a provider fax on behalf of a patient?

Yes, and it is common. The provider typically needs a signed release or authorization from the patient. The cover sheet should identify both the provider and the patient clearly.

Related

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