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Current provider forms page publishes Client Services and the general laboratory fax. Current ExomeDx and GenomeDx requisition forms are linked there. No address from a form letterhead is treated as a submission destination.

Current provider forms page links GN-007B-v3.0 FEB 2026, based on the 2026 federal poverty guidelines. Assistance is considered individually for U.S. residents and is explicitly unavailable for Rapid or ultraRapid tests. Ask billing for current application instructions; the form does not explicitly designate its footer fax or letterhead address for submission. Application does not establish eligibility.

Current forms page explicitly directs the completed standard Genetic Counseling Referral Form to this email or fax. The separate prenatal, Rapid and ultraRapid form has different destinations. This route does not provide clinical advice.

Current forms page explicitly directs the completed Prenatal, Rapid and ultraRapid Post-test Genetic Counseling Form to this email or fax. This administrative referral route is separate from financial assistance, whose form excludes Rapid and ultraRapid tests.

Published team for requests for patient raw data, such as sequencing files. Confirm identity, authorization and transfer requirements with GeneDx before sending or receiving data.

The current forms page directs requests to release a patient test report to someone other than the ordering provider to Customer Service. Appropriate patient authorization and release requirements still apply; this is administrative routing, not interpretation of results.

Report a product quality issue or abnormality (manufacturing, labeling, packaging, shipping, handling or storage, including spoilage). Separate from adverse-event reporting.

Page lets offices select a Genentech product to connect with a clinical services representative; for products not listed, call the number shown.

For U.S. healthcare providers: coverage help (benefits investigations, prior authorization resources), reimbursement/coding and denial/appeal resources, distribution information, enrollment in Genentech Access Solutions, co-pay programs and independent-foundation referrals. Enrollment fax numbers are product-specific and printed on each product's form; none is listed here. Genentech Patient Foundation (free medicine) is a separate line.

Customer service for product questions, issues and returns, including direct orders (e.g., HTCs and specialty pharmacies ordering Hemlibra directly are told to call to confirm delivery dates). Not medical information.

Medical information about Genentech products (nurse chat also offered). Hours differ between official pages: gene.com lists Monday-Friday 5am-5pm PT; the Genentech-pro medical information page lists 24 hrs/day, 7 days/week, so hours are left blank.

Report a side effect or harmful experience with a Genentech medicine. Separate from product complaints and medical information. The Genentech-pro page lists adverse-event phone availability as 24 hrs/day.

Foundation enrollment forms and questions. Separate from product-specific Access Solutions or copay support; confirm the participating medicine.

2026 Health Care Professional’s Guide to Disease Reporting, printed page 22. The directory recommends local health department consultation for communicable disease prevention and control. County office locality: Flint. Fax is the listed program contact; confirm submission requirements with the department. No street address, email or hours were supplied in the table. Publication version is 2026; sourceCheckedAt is the research date.

NYSDOH lists this local health department number for communicable disease questions. Phone table revised March 2026.

CMS ACO ID A4799. Public reporting / administrative contact from the CMS PY2026 dataset, modified April 16, 2026. This is not a claims, eligibility, enrollment, or urgent clinical line. State tags identify states containing counties where more than 1% of assigned beneficiaries reside; they are not a statewide service-coverage or eligibility guarantee. The ACO reporting website was supplied in the dataset and was not individually reviewed in this batch.

Official Iowa HHS directory administrative contact for the named county. Some entries are county-contracted hospital or home-health providers; this route does not establish hospital-wide coverage or clinical eligibility. No publication date is stated.

Official Iowa HHS directory administrative contact for the named county. Some entries are county-contracted hospital or home-health providers; this route does not establish hospital-wide coverage or clinical eligibility. No publication date is stated.

CMS ACO ID A2597. Public reporting / administrative contact from the CMS PY2026 dataset, modified April 16, 2026. This is not a claims, eligibility, enrollment, or urgent clinical line. State tags identify states containing counties where more than 1% of assigned beneficiaries reside; they are not a statewide service-coverage or eligibility guarantee. The ACO reporting website was supplied in the dataset and was not individually reviewed in this batch.

County-specific entry in the ADPH District and County Roster. The county tag identifies this directory entry; program eligibility and appointment requirements must be confirmed with the department. Public fax listed for this office; no claims or medical-records submission purpose is stated.

Secure web form: enter patient name and your contact details; Gentiva calls the referrer and local team contacts the patient to discuss eligibility and schedule a visit.

Page instruction: fax the completed Gentiva referral form to this number. Download the referral form from the same page.

National 1-888-GENTIVA line shown on the Gentiva healthcare-provider page under "Making a referral is easy". Gentiva operates former Kindred at Home hospice programs and Heartland-branded and other hospice brands listed on its site; the page does not list separate regional referral numbers.

County tag follows the named MSDH county section, not the site's city location. This is the published local office or named program contact. MSDH lists 855-767-0170 separately for county-clinic appointments; that shared scheduling number is not substituted for the local phone. Program availability, eligibility, and walk-in access must be confirmed with the department.

Under D.C. law GW Hospital provides some services free or at reduced charge to persons unable to pay; ask the Business Office (or Admissions, 202-715-4050) about eligibility. Also listed for questions about a bill.

Published on the insurance page for any GW Hospital billing questions. The financial information page also lists the Patient Accounting Department / Business Office at 202-715-4905 for bill questions.

Medical Records department. Physician offices may fax record requests on office/facility letterhead to the fax number; holidays, weekends and after hours call 202-715-5610. Request status, payment and questions on released records: 610-994-7500 ext. 1. Radiology images: 202-715-5197. Pathology/cytology/autopsy requests are mailed to the address below.

Toll-free physician-to-physician transfer line (an attending physician answers), serving the Washington, D.C. metro region. Fax is the Patient Logistics Center. Source is a transfer-center flyer dated 10/2019 still linked from the current medical staff resources page.

Questions regarding pre-registration at GW Hospital. Maternity pre-registration questions use 202-715-4907.

SC DPH county-clinic directory updated September 30, 2026. Service availability is location-specific.

Maine CDC official local-health-officer directory. Department contact number is reproduced without staff names or personal email addresses. State page provides no record update date, office address, fax or public mailbox. Read only; telephone reachability not tested.

Georgia Medicaid utilization management partner; call the GAMMIS line and choose the Prior Authorization option.

Listed as a Georgia Medicaid partner on the GAMMIS contact page (Georgia Collaborative ASO for behavioral health services). Not for physical health prior authorization (Alliant Health Solutions via the Provider Contact Center).

Georgia Medicaid/PeachCare EDI services (submitter enrollment, electronic transactions). Local number (770) 325-9590.

Local (Atlanta-area) number for Gainwell EDI Services; toll-free (877) 261-8785 is already listed.

OptumRx clinical PA line listed on the GAMMIS phone numbers page.

OptumRx technical line listed on the GAMMIS phone numbers page (pharmacy claim/technical issues).

Local 770-325-9600.

GAMMIS phone list routes provider financial payments & issues to the Provider Contact Center numbers (local (770) 325-9600). Fee-for-service Medicaid; CMO members' claims go to the CMO.

CMS ACO ID A5611. Public reporting / administrative contact from the CMS PY2026 dataset, modified April 16, 2026. This is not a claims, eligibility, enrollment, or urgent clinical line. State tags identify states containing counties where more than 1% of assigned beneficiaries reside; they are not a statewide service-coverage or eligibility guarantee. The ACO reporting website was supplied in the dataset and was not individually reviewed in this batch.

Contact and county association read from the state local health department directory. Department website is the directory link and was not independently checked unless listed as a related source. No publication date is stated in the directory; sourceCheckedAt is the research date.

Main number and office location published under this county in the Tennessee local-health directory. This is an office contact, not a guarantee of eligibility, service availability, or insurance coverage.

Main number and office location published under this county in the Tennessee local-health directory. This is an office contact, not a guarantee of eligibility, service availability, or insurance coverage. The source identifies this location as a Community Health Center (FQHC); this route retains that specific facility designation.

Department phone published by the Arizona Department of Health Services. Program availability and tribal service arrangements require confirmation with the department.

Current page publishes fax 575-538-4114 OR 575-538-4164. Primary fax field preserves the first value; second is retained here as a published alternative. Requests require the hospital release/identification process. Conflicting processing-time language on the page is not promoted into a guarantee.

Current pay-bill page publishes this number and local alternative 575-904-0159 for bill questions. Financial-assistance page instead publishes application-help numbers and general call center 575-538-4000; department purposes are kept distinct. No proof of equivalence between listed numbers was obtained.

Financial-assistance page explicitly assigns this number and toll-free alternative 866-574-4989 to application help. It also lists general customer call center 575-538-4000. Application criteria are not copied into eligibility promises; billing page has separate direct phone numbers.

The corporate list marks Biktarvy, Bixlenvo, Descovy, Genvoya, Odefsey, Stribild, Sunlenca and Yeztugo for PAP/MAP. It lists other medicines for broader program support without that mark. Commercial copay support has separate restrictions. Free-drug fulfillment moved to a mail-order model in May 2025; confirm arrangements with the program.

Contact the program for current support options and eligibility. Copay support, free medicine and other services have separate requirements; this listing does not establish coverage or approval.

Same toll-free number with separate published menu options: product complaints (also by email) and adverse events. Gilead corporate contact page lists this number as 1-800-GILEAD-5 with Option 2 for product quality complaints.