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Lection Form and send copies of the completed form via fax or email to the selected EVV vendor and to each provider agency payor that you indicate on the form. Completed forms must be sent to these respective fax or email addresses: EVV VENDORS (as applicable) Care Monitoring 2000 Fax #: (888)803-3808 Email: info cm2000.com DataLogic (Vesta) Fax #: (956)412-1464 Email: info vestaevv.com MEDsys Fax #: (866)437-9066 Email:jcalcaterra medsyshcs.com Sandata Fax #: (516)484-6084 Email: texasevv sa.

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  • 2015
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