Insurance Verification

Completely secure, HIPAA-compliant online benefits check. We'll handle the logistics while you focus on recovery.

256-Bit SSL Encrypted & HIPAA Compliant

Step 1: Patient Details

Please provide the legal information of the individual seeking treatment.

Full Legal Name

Date of Birth

Contact Phone

Step 2: Policy Details

Your information is encrypted and only used for verification purposes.

Insurance Provider

Member ID Number

Encryption Active

Group Number

Relation to Subscriber

By submitting this form, you authorize Sober Recovery Treatment Center to request benefit descriptions and verify your insurance coverage with your provider. Your information is encrypted using 256-bit SSL technology and will never be shared with third parties except your insurance carrier.