Provider id#           6232

Phone – 800.358.8980 opt 1

Fax – 866.546.0758

 

PROGRAM QUICK REFERENCE

 

1.            SUBMIT SIMPLE APPLICATION

Fax or call into our MedChoice National Service Center.  Decisions will be rendered within minutes.

 Application

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  Download

Fax Applications to: 866.560.7806   or  Phone: 800.358.8980  opt. 1

 

2.            Important Step!  RETURN APPROVAL FAX NOTIFICATION

Simply fill out the short & simple approval notification make sure to provide surgery date & amount financed.  To expedite the payment process, please include any multiple check instructions.  Once completed fax notification to:

 

Fax completed form to: 866.560.7806

 

3.            RECEIVE FUNDS

Within 24-36 hours of receipt of completed loan forms from the borrower(s) we will disburse payment to your office.  Upon disbursement MedChoice will fax payment notification, to obtain for your records.

 

Questions on Funding:      Call:  954.719.0890 ext 207