Update Your Insurance

If you have health insurance but we did not receive it, you can enter your health insurance information below and your account will be updated and your insurance company will be billed automatically.

New Insurance Info

Please enter your account number as it appears on your bill.
 Where do I find my Account Number?
Please enter the patient's name without any special characters.
Please enter the Member ID as it appears on your insurance card.
Please enter the patient's phone number without any special characters. If the patient does not have a valid U.S. or Canadian phone number, please enter the policy holder's phone number.
Please enter a valid email address. If the patient does not have a valid email, please enter the policy holder's email.
Please enter the policy holder's name without any special characters.
Please enter the group number as it appears on your insurance card. If you cannot find the group number, you may leave this field blank.
Please enter the Payer ID/EDI number as it appears on your insurance card. If you cannot find the EDI number, you may leave this field blank.
Please enter the name of your insurance company without any special characters.
Please enter the address of your insurance company without any special characters.
Please enter the address of your insurance company without any special characters.
Please enter the city name without any special characters.
Please select a state/province from the dropdown menu.
Please enter the 5-digit (or 6-character if Canadian) zip code with no additional characters.
Please enter the insurance company's phone number without any special characters.
Insurance Type
Sorry, we cannot accept special characters or links in this field.