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WEB REGISTRATION
PROVIDER
RECIPIENT
VISIT
REPORT FRAUD AND ABUSE
Contact Us
Provider Inquiry
P.O. Box 34734
Washington, DC 20043-4734
(202) 906-8319 (inside DC metro area)
(866) 752-9233 (outside DC metro area)
(202) 906-8399 (Fax)


Provider Enrollment
P.O. Box 34761
Washington, DC 20043-4761
(202) 906-8318 (inside DC metro area)
(866) 752-9231 (outside DC metro area)
(202) 906-8399 (Fax)
http://doh.dc.gov/maaproviders


EDI Support Unit
Phone: (866) 407-2005
http://www.acs-gcro.com


Transportation Broker
Medical Transportation Management, Inc. (MTM)
(888) 561-8747
(866) 796-0601 (to schedule appointment)
http://www.mtm-inc.net


UB04 Claim Forms
P.O. Box 34693
Washington, DC 20043-4768


CMS1500 Claim Forms
P.O. Box 34768
Washington, DC 20043-4768


ADA and Pharmacy Claim Forms
P.O. Box 34714
Washington, DC 20043-4714


Adjustment/Void Requests
P.O. Box 34706
Washington, DC 20043-4706


Medicare Crossover Claim Forms
P.O. Box 34770
Washington, DC 20043-4770


278 Prior Authorization Transaction Attachments
P.O. Box 34756
Washington, DC 20043-4756


837 Claim Transaction Attachments
P.O. Box 34631
Washington, DC 20043-4631


ESA Service Centers
Customer Service - (202) 727-5355

Anacostia
2100 Martin Luther King Avenue, SE
(202) 645-4614
(202) 727-3527 (Fax)

Congress Heights
4001 South Capitol Street, SW
(202) 645-4546
(202) 654-4524 (Fax)

Eckington
51 N Street, NE
(202) 724-8720
(202) 724-8602 (Fax)

Fort Davis
3821 Alabama Avenue, SE
(202) 645-4500
(202) 645-3348 (Fax)


H Street
645 H Street, NE
(202) 698 4350
(202) 724-8964 (Fax)

Taylor Street
1207 Taylor Street, NW
(202) 576-8000
(202) 576-8740 (Fax)

Northeast
3917 Minnesota Avenue, NE
(202) 724-7900
(202) 724-8549 (Fax)