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Verify Your Insurance Benefits

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Would you like assistance? We are happy to answer any questions you may have. We can collect your information and verify your benefits over the phone: Call Us: 888.604.6446

Verification of Benefits Form

Step 1 of 2 - Insured Client

Insured Client's Name
First Name
Last Name
DOB
MM slash DD slash YYYY
Phone Number
Email
Insurance Company
Policy or Member ID Number
Group Number
Insurance Provider Number

Your Insurance Could Cover
Outpatient Treatment

We work with most major insurance providers. Find out if your benefits cover the cost of addiction treatment.
Fill out our online form for quick answers.

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Get Help Now: 888.604.6446

Certification Number 300686AP Expiration Date 11/30/2023

19322 Beach Blvd
Huntington Beach, CA 92648

Verify Your Insurance Benefits

We Are Here to Help

Verification of Benefits Form

Step 1 of 2 - Insured Client

Insured Client's Name

Contact Person Once Verification Is Complete

Your Insurance Could Cover Outpatient Treatment

Your Insurance Could Cover
Outpatient Treatment