Verify Your Insurance

Speed up the process by filling out the insurance verification below. One of our intake specialists will give you a call right back and explain your coverage. More importantly we will help you understand the type of treatment needed and how we will use your insurance to make sure your stay with us is successful.

Policy Holder *

First

Last

Email *

Phone *

Address *

Short Message

DOB

Month *

Day *

Year *

Employer Name (if applicable) *

Insurance Carrier *

Member ID Number *

Group Number *

Policy Effective Date

Month *

Day *

Year *

Patient *

First

Last

PATIENT DOB

Month *

Day *

Year *

Address *

Relationship to the policy holder *

Single Line Text

Note all information is provided voluntarily, strictly for verification of benefits through Bay Area Recovery Center. No information submitted is used or sold to third parties for any purpose.

Custom Captcha *

Name

Verify Your Insurance

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