PAYING WITH INSurance:
In network with Blue Sheild and Cigna. Please fill-out your insurance information.
Out of network. We will provide you with a Superbill to be sent to your insurance for reinmbursement.
• Verifying benefits is not a guarantee of payment.
If for any reason a submitted claim is denied by your insurance, you will be responsible to pay the full billed amount.
• Co-pays for in network and full payment for out of network will be due at time of service.
• By initialing here, you agree to the release of medical and billing information necessary for treatment, payment and healthcare operations and assign benefits payable to Venn Acupuncture and/or Claudia Venn