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Insurance guidance

Verify coverage before your visit.

Networks, benefits, referrals, and authorizations can vary by plan and can change. A direct verification is the most reliable place to begin.

Have your card readyCall your clinic with the member name, plan name, member ID, and the type of visit you are planning.

01

What to ask the office

The access team can help you identify the questions that need to be confirmed with your current plan.

  • Whether the practice and the expected clinician are currently in network
  • Whether your plan requires a referral before an evaluation
  • Whether records, imaging, or prior authorization are needed before a visit or procedure
  • Which costs may remain your responsibility under your deductible, copay, or coinsurance

02

Verification is not a payment guarantee

A benefit check reflects the information available when it is performed. Final payment depends on the plan, eligibility on the date of service, medical-necessity review, authorization rules, coding, and the services actually provided.

If a procedure is discussed after evaluation, ask for a new verification that is specific to that plan of care.

03

If you are referred

Ask whether your plan requires a referral and confirm that the referring office has the correct secure route for records. Do not send medical information through a general website form or an unconfirmed email address.

Questions about your plan?

Call with your current insurance card available so the office can guide the verification process.

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