Information for Insurance Agencies

Thank you for referring patients to NMCI Medical Clinic for care.

Home / Information for Insurance Agencies

What to include with a referral

Medical records
Status of the claim
Patient demographics
Authorizations

Please forward patient records to the corresponding clinic location. Fax new patient referrals to (408) 498-4552 or email them to the referral address for that clinic.

Department directory

Referral Department: (408) 988-8581 ext 307 or ext 327
Authorization Department: ext 309
Billing Department: ext 319, ext 308 or ext 314
New patient fax: (408) 498-4552

Submit a referral

Use the secure referral form or fax the packet. We will confirm receipt as soon as possible.

Referral Form