AvMed makes it easy to manage your account by providing forms and other tools for making requests. Simply print and fill out one of our pre-composed forms for quick, easy service. Certain requests can be submitted directly online.
HIPAA Employer Certification Form
Magellan Mental Health Direct Member Reimbursement Form - Use this form for services received on or before 12/31/2020
Optum Mental Health Direct Reimbursement Form - Use this form for services received on or after 01/01/2021