Request a Refund

Favored Medical Billing does not issue refund payments, but the initiation is required through FMBS to your provider.

The time frame from request initiation to refund reimbursement is 21 business days. If payment has NOT been received within that time frame, please contact your provider directly.

For faster review, please provide the following with your refund request.
* A detailed explanation why the refund is due
* A copy of the explanation of benefit (can be obtained from your insurance payer)
* A copy of the payment made by the patient (i.e receipt, bank statement)

If you would like to request a refund, please complete the appropriate form below.

Please email the forms to or fax it to 1.623.374.4592 (the 1 is required in front).

ALL Provider Refund Request