Lhcctransport.com

Louisiana Healthcare Connections

WebTo be reimbursed for a trip, transportation needs to be scheduled with MTM at least two business days before the member’s appointment. Please call 1-855-369-3723 (TTY: …

Actived: 6 days ago

URL: https://lhcctransport.com/

Driver Registration – Louisiana Healthcare Connections

WebTo register as a driver, you will need: Full name of driver. Physical address of driver (Must match the driver’s license and cannot be a PO Box) The driver’s contact information, …

Category:  Health Go Health

Gas Reimbursement Guidelines

Webleast 2 business days before their health care appointment. Urgent appointments can be booked at any time. To request a trip, call Veyo at 1-855-369-3723 …

Category:  Health Go Health

Print Forms – Louisiana Healthcare Connections

WebSchedule a trip: 1-855-369-3723 (TTY: 711) Select Language . English Spanish

Category:  Health Go Health

Gas Reimbursement Payment Request Form

WebGas Reimbursement Payment Request Form. This form can be used to request reimbursement for driving a Louisiana Healthcare Connections member to a …

Category:  Health Go Health

Gas Reimbursement Form – Louisiana Healthcare Connections

WebSchedule a trip: 1-855-369-3723 (TTY: 711) Select Language . English Spanish

Category:  Health Go Health

Gas Reimbursement Guidelines

Webleast 2 business days before their health care appointment. Urgent appointments can be booked at any time. To request a trip, call Veyo at 1-855-369-3723 …

Category:  Health Go Health

Gas Reimbursement Payment Request Form

WebDrivers will receive one payment for each trip, even if more than one member or passenger is in the vehicle. Driver Signature. Member Signature. Please submit …

Category:  Health Go Health

Gas Reimbursement Driver Registration Form

WebPlease submitthe original form with your signature to Veyo. Keep a copy for your records. You can submit completed forms by email, mail, or fax: …

Category:  Health Go Health