
U of M Referral Form PDF


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People also ask
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What is the phone number for the U of M portal?
Phone: 734-615-0872, Monday-Friday 7 am - 7 pm, Saturday 8 am - 1 pm.
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What is the fax number for musc referral?
Please fax the completed request form to (843) 792-2995 along with relevant medical records.
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What is the fax number for University of Michigan referral?
For insurances requiring a referral or authorization from the primary care physician, please fax the referral to 734-936-8067. The information listed above is required before an appointment can be scheduled for your patient.
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What is the fax number for Michigan disability?
You may also fax documentation to (517) 241-9926. How do I contact the Disability Management Office (DMO)?
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What is the phone number for U of M referral?
Call M-LINE to Refer a Patient: 800-962-3555.
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What is the fax number for Michigan medicine referral?
For insurances requiring a referral or authorization from the primary care physician, please fax the referral to 734-936-8067. The information listed above is required before an appointment can be scheduled for your patient.
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What is the phone number for U of M billing?
Billing: Toll-Free 855-855-0863 or 734-615-0863, Monday-Friday 8 a.m. - 4 p.m.
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What is the fax number for Blue Cross complete of Michigan?
Submit completed forms and requests to Provider Network Operations at: bccproviderdata@mibluecrosscomplete.com or fax to 1-855-306-9762.
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