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Insurance Update
1. Add Your Insurance Card
To ensure a speedy check-in process, please take a picture of the front and back of your insurance card.
Capture Front of Card
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Capture Back of Card
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2. Enter Your Insurance Details
Patient Information
First Name
Middle Name
Last Name
Suffix
Date of Birth
Gender
Subscriber*
A Subscriber is the person who pays for an insurance plan and is usually the primary contact for the policy. They may also be known as the policyholder or primary enrollee.
Is the patient the Policy Holder or Subscriber?
Employer
First Name
Middle Name
Last Name
Suffix
Date of Birth
Gender
Insurance Company
Company Name
Add My Insurance Company
Group #
Subscriber ID
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