*PLEASE READ*: If you would like your my office to verify your insurance benefits *BEFORE* your appointment, please make sure to fill out the patient insurance information COMPLETELY. Without this information completed, my insurance billers can not verify if you have acupuncture coverage or not. If you do not fill this information online before your appointment, I can collect the information during your appointment time, however verification of coverage takes at least a few days to complete, thus you will need to pay for your visit in full until It can be determined if you have coverage or not.
This includes ALL OF THIS INFO: Your name, date of birth, *ADDRESS* (people sometimes leave this blank), telephone number, email address, Insurance Company, Member ID, Group ID, Insurance type (PPO, HMO, etc.) and Insurance company phone number (Provider number if listed on your insurance card, otherwise Member service number).