Verify Insurance

Join our community

Steps to Insurance Verification

1Call us for a free clinical screening (866) 650-5212

2Complete the VOB

3Tour the campus and review admission details

4Schedule an admission time

Verify Insurance Form
Fill out the form below to verify your insurance benefits and we’ll get back to you as soon as possible. Please note that all fields are required.
FULL NAME*
First Last
EMAIL*
PHONE*
Client Information
FULL NAME*
First Last
DATE OF BIRTH*
MM slash DD slash YYYY
EMAIL*
PHONE*
CURRENT ADDRESS*
INSURANCE MEMBER ID*
INSURANCE GROUP ID*
Insurance Information
PROVIDER NAME*
PROVIDER PHONE*
PRIMARY SUBSCRIBER FULL NAME*
First Last
PRIMARY SUBSCRIBER DATE OF BIRTH*
MM slash DD slash YYYY
PRIMARY SUBSCRIBER CURRENT ADDRESS*
PRIMARY SUBSCRIBER DRIVERS LICENSE / ID NUMBER*
PRIMARY SUBSCRIBER SSN NUMBER*
PRIMARY SUBSCRIBER INSURANCE MEMBER ID*
PRIMARY SUBSCRIBER INSURANCE GROUP ID*
Insurance Card Upload
Please upload a photo of the front and back of your current insurance card
Drop files here or

Accepted file types: jpg, png, pdf, Max. file size: 10 MB, Max. files: 2.
How Did You Hear About Us?*
Brief Description*
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We’ll Bill Your Insurance

You want so badly for your son to receive treatment for substance abuse, but you’re not sure how to pay for it. We accept a wide range of insurance plans. Our admissions counselors will work with you to determine your benefits coverage. Let us speak with the insurance company on your behalf to hash out things like verification and pre-certification. You can see the list of providers we work with below.

What We Accept

We can work with most insurance providers. That being said, every insurance company is unique. Below are some of the providers we’ve worked with in the past. If you don’t see yours listed, don’t be discouraged. Call our admissions team. They’ll reach out to your provider to find out the specifics of what coverage options may be available.

Verify Insurance