Claims and claim status

Find claim-status contacts and document destinations. A billing address, appeal address and original-claim address are not interchangeable.

claims

QALSODY — provider copay reimbursement submission

Official page read

Phone877-725-7639Fax

908-809-6244

Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
National contact — confirm product and location

Mailing address

Biogen Claims PO Box 2355 Morristown, NJ 07962

QALSODY copay reimbursement claims only; not a patient payment or general application address.

Currently linked form is effective May 2023. Submit the reimbursement form, itemized EOB/remittance advice and billed-charge summary. Payments are made to physicians or sites of care on the patient’s behalf. Verify current eligible services before submitting; no billing-code eligibility is inferred from the older form.

View source ↗ · Source checked 2026-10-22 · Current page linking the reimbursement form ↗

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Find claim-status contacts and document destinations. A billing address, appeal address and original-claim address are not interchangeable.

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Claim number, service dates and billed amount
Submission acknowledgement and remittance
Provider billing identifiers

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Was the claim received and accepted for processing?
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Is a corrected claim, reconsideration or appeal the right route?

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