Insurance Coverage Check

1. Patient Status

Are you a new or existing patient?

New Patient Existing Patient

2. Insured Person & Coverage

Select Insurance Plan *

Insured Person's First Name *

Insured Person's Last Name *

Insured Person's Email *

Insured Person's SMS/Texting Number *

Select Insured Person's Date of Birth *

3. Consent & Send

Review Your Information

Please complete the previous steps to see your summary here.

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HIPAA COMPLIANCE

MULTI-STEP COVERAGE CHECK

1. Patient Status

Are you a new or existing patient?

2. Insured Person & Coverage

3. Consent & Send

Review Your Information

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