Submit Your Insurance
We accept most private and employer insurance plans. To get started, please fill out your information below and upload a copy of the front and back of your insurance cards. One of our client advocates will call you to discuss your coverage.
Currently, we are unable to accept Medicaid and Medicare.
A quote of benefits and/or authorization does not guarantee payment or verify eligibility. Payment of benefits are subject to all terms, conditions, limitations, and exclusions of the member’s contract at the time of service.
Your health insurance company will only pay for services that it determines to be “reasonable and necessary.” Every effort will be made by this office to have all services and procedures authorized by your health insurance company. If your health insurance company determines that a particular service is not reasonable and necessary, or that a particular service is not covered under the plan, your insurer will deny payment for that service.
I understand that my health insurance company may deny or limit payment for the services identified above, for any reason (stated or not). If my health insurance company denies payment, I agree to be personally and fully responsible for payment. I also understand that if my health insurance company does make payment for services, I will be responsible for any co-payment, deductible, or coinsurance that applies.