Insurance Verification Form

Submit your health insurance information for verification. All information is held confidential.

Fill in all required fields (*) of the form below and we will notify you immediately when we have verification.

If you have any questions regarding the completion of this online form or about using insurance to pay for alcohol and drug rehab, please call Toll Free: (800) 877-4520

UnitedHealthcareCignaAetnaValueOptionsHealthPartners
Call for more information and daily rates:
(800) 877-4520

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CARF
CARF - Commission on Accreditation of Rehabilitation FacilitiesNATSAP | National Association of Therapeutic Schools and ProgramsNBCCNAADAC