Insurance verification
We are out-of-network with all insurers. Use the secure form below to submit your details.
There is no charge and no obligation for submitting this form, and you do not need to be a patient to do so.
What you'll need
- Your insurance card, front and back. Uploading photos will save you time
- The policyholder's name and date of birth, if that is not you
After you submit
It can take several days to process insurance verification. Once it has been processed we will contact you to explain your benefits. A benefits check is not a guarantee of payment. Insurers quote coverage in good faith and occasionally get it wrong, so treat what we send you as a well-informed expectation rather than a promise.
This is a secure encrypted form, and we do not store your personal data on this site.