Get the free Florida Health Plans Direct Referral Authorization Form 6-2-16

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DIRECT REFERRAL No authorization number is required for payment. Paper Claims Department, PHP & PHC, P.O. Box 7490, La Verne, CA 91750 Electronic Claims: Clearinghouse: Eden; Submitter I.D.: 95411

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Step 1: Gather all necessary information and documents such as personal identification, income information, and any relevant health history.

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Step 2: Visit the official website of Florida Health Plans Direct.

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Step 3: Create an account or log in if you already have one.

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