Verify Insured Coverage / Benefits

Enter patient's policy information to get policy status and plan type. All fields are required.

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Policy Number

* Required

Insured Last Name

* Required

Insured Birth Date

* Required, date format: MM/DD/YYYY

Insured SSN

* Last 4 digits, required

HIC #	Insured Name	Plan	Status	Effective	Paid To
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