Insurance Verification Form

 

Verify Your Insurance Benefits.

Please provide us with the information listed below and we will contact your insurance provider and get back to you within 48 business hours. The information you need to fill out this form should be located on the front and back sides of your insurance card.

 

Full name:
Phone #:
Best time to reach you:
Date of birth:
Insured’s name (if other than yourself):
Insured ID #:
Group #:
Your address:
City:
State:
Zip code:
Ins. Co. name:
Ins. Co. phone:
Ins. Co. claims address:

 

 

Chinese Medicine for


Insurance Verification

Find out if your insurance plan offers coverage of our services.

 

Appointments available 7 days a week, including early morning and evening hours.

 

Phone
(619) 692-0692

 

Fax
(619).692.0600

 

Address
928 Fort Stockton Dr #103
San Diego, CA 92103
map & directions