ABOUT US
PROGRAMS
Neuro+ Plus Flex
Restart (IOP)
Reclaim (PHP)
Emersion (In-Patient)
TREATMENTS
MENTAL HEALTH SERVICES
ADDICTION SERVICES
GETTING STARTED
Verify Your Insurance
BLOG
CONTACT
Menu
ABOUT US
PROGRAMS
Neuro+ Plus Flex
Restart (IOP)
Reclaim (PHP)
Emersion (In-Patient)
TREATMENTS
MENTAL HEALTH SERVICES
ADDICTION SERVICES
GETTING STARTED
Verify Your Insurance
BLOG
CONTACT
855-593-2231
Making A Professional Referral?
Click Here
855-593-2231
Making A Professional Referral? Click Here
Verify your Insurance
Please fill out the form below to verify your insurance coverage. All fields marked with a star are required.
Patient Information
Patient Full Name
Patient Date of Birth
Patient Phone Number
Patient Physical Address
Patient Email Address
Primary Policy Holder Information
Policy Holder Full Name
Policy Holder Date of Birth
Policy Holder Phone Number
Policy Holder Physical Address
Policy Holder Email Address
Photo Upload: FRONT of Insurance Card (optional)
Photo Upload: Back of Insurance Card (optional)
Insurance Information
Insurance Provider
Insurance Provider Phone Number
Policy Number/I.D #
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