Insurance Verifier

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Verify your insurance.

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Free Insurance Verification.

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Find out whether you would be covered under one of our treatment plans by filling out the contact form below.

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A member of our staff will be in contact with you shortly.” submit_button_text=”Verify My Insurance” _builder_version=”4.6.0″ form_field_background_color=”#ffffff” form_field_text_color=”#21295C” form_field_custom_margin=”4px||30px||false|false” form_field_custom_margin_tablet=”” form_field_custom_margin_phone=”12px||10px||false|false” form_field_custom_margin_last_edited=”on|desktop” captcha_font=”|600|||||||” form_field_font=”Raleway|700|||||||” form_field_text_align=”left” form_field_font_size=”13px” custom_button=”on” button_text_size=”19px” button_text_color=”#ffffff” button_bg_color=”#21295C” button_border_width=”0px” button_border_radius=”50px” button_font=”Open Sans Condensed|700|||||||” button_icon=”%%40%%” button_icon_color=”#3DDC97″ button_on_hover=”off” button_custom_padding=”23px|45px|23px|60px|true|false” button_custom_padding_tablet=”20px|40px|20px|50px|true|false” button_custom_padding_phone=”15px|30px|15px|45px|true|false” button_custom_padding_last_edited=”on|tablet” custom_margin_tablet=”50px||||false|false” custom_margin_phone=”50px||||false|false” custom_margin_last_edited=”on|desktop” hover_enabled=”0″ border_radii=”on|10px|10px|10px|10px” border_width_all=”1px” button_text_shadow_style=”preset1″ box_shadow_style=”preset1″ box_shadow_vertical=”0px” box_shadow_blur=”0px” box_shadow_blur__hover_enabled=”on” box_shadow_blur__hover=”10px” recaptcha_min_score=”0.7″ sticky_enabled=”0″][et_pb_contact_field field_id=”Name” field_title=”FIRST & LAST NAME*” _builder_version=”4.3.3″ button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”][/et_pb_contact_field][et_pb_contact_field field_id=”dob” field_title=”DATE OF BIRTH*” _builder_version=”4.3.3″][/et_pb_contact_field][et_pb_contact_field field_id=”Phone_Number” field_title=”PHONE NUMBER*” _builder_version=”4.0.5″][/et_pb_contact_field][et_pb_contact_field field_id=”Email” field_title=”EMAIL ADDRESS*” field_type=”email” _builder_version=”4.0.5″ button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”][/et_pb_contact_field][et_pb_contact_field field_id=”INSURANCE_PROVIDER” field_title=”INSURANCE PROVIDER*” _builder_version=”4.3.3″][/et_pb_contact_field][et_pb_contact_field field_id=”TYPE” field_title=”TYPE*” field_type=”select” select_options=”%91{%22value%22:%22HMO%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22PPO%22,%22checked%22:0,%22dragID%22:0},{%22value%22:%22Other%22,%22checked%22:0,%22dragID%22:1}%93″ _builder_version=”4.0.5″][/et_pb_contact_field][et_pb_contact_field field_id=”MEMBER_ID” field_title=”MEMBER ID*” fullwidth_field=”on” _builder_version=”4.0.5″][/et_pb_contact_field][/et_pb_contact_form][et_pb_divider show_divider=”off” _builder_version=”4.6.0″ _module_preset=”default” min_height=”50px” height=”50px” max_height=”50px”][/et_pb_divider][et_pb_text _builder_version=”4.6.0″ _module_preset=”default”]

Upon successful submission, you will be redirected to our homepage.

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