Email email@example.com the below information to see if I can take your insurance:
– I can take insurance out of network, with any insurance company except Cigna.
– Accepts Health Savings Account (HSA) and Flexible Spending Account (FSA) cards.
To verify your insurance I need:
- * A clear front and back copy of your insurance card.
- Date of Birth:
- Social Security Number (optional):
- Mailing Address:
- If you are covered under someone else’s insurance:
- Policy Holder’s Name (if other than patient):
- Policy Holder’s Date of Birth (if other than patient):
- Patient’s Relationship to Policy Holder: