If you are a new user to the site, please click the Register Now button to begin the registration process.

If you are a registered user, please login above.


QUICK LINKS


CONTACT US

Phone Numbers
Voice: (866) 316-7263
General
Fax:
(866) 316-7261
Use this number
to submit
enrollment and income
information.
New
Claims Fax:
(844) 726-4728
Use this number
to submit
Proof of Expenditure
Forms and claims information.

Monday through Friday
9:00am-5:00pm ET

Contact Address

General Address: Use this address to submit enrollment and income information.
Patient Access Network Foundation
PO Box 221858
Charlotte, NC 28222-1858

New Claims Address: Use this address to submit Proof of Expenditure Forms and claims information.
Patient Access Network Foundation
PO Box 2310
Mt. Clemens, MI 48046