Get Pre-verified for Coverage!
We are in-network with the major private carriers, but individual coverage plans will vary- especially for individual deductibles, telehealth, and mental health coverage.
We believe in full transparency for any out-of-pocket costs – we NEVER surprise any of our patients with a bill after their appointment.
To learn your out-of-pocket expense without having to complete a full registration, please share your insurance information below, and we will contact you with your results. We also offer competitive cash pricing, as well as flexible payment plans.
Please note that by providing your phone number, you are granting us permission to deliver your personal coverage details by phone and SMS text messaging. Regular rates will apply.
Patient Info
Insurance Verification
Name
Email Address
Phone Number
Address
City
State
Zip Code
Date of birth
Please select from our accepted insurers. If you have an insurer not included in this list, please enter it in the notes section below.
Insurance Name
Self-Pay/Cash Aetna Blue Cross Blue Shield Cigna Humana United Medicare Medicaid OtherNotes
Insurance ID Number
Provider customer service phone number. (Found on the back of the insurance card)
If insurance policy holder is not Self:
Insured Name
Insured date of birth
Please upload photos of the front and back of your insurance card. Use a reduced file size to upload.
Front
Back
Do You Have Secondary Insurance?
Yes NoSecondary Insurance - Insurance Name
Self-Pay/Cash Aetna Blue Cross Blue Shield Cigna Humana United OtherSecondary Insurance - Insurance ID Number
Secondary Insurance - Insured Name
Secondary Insurance - Insured date of birth
Procedure
Bariatric/Weight-loss Surgery Spinal Fusion/Laminectomy Spinal Cord Stimulators/Peripheral Nerve Stimulators/Intrathecal Pump Chronic Headache Screening Bariatric Post-Op CounselingClinic / Surgeon
Additional Comments