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470-504-1703
Insurance Verification
Insurance Verification Form
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IOP
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Aetna
Cigna / Evernorth
CareFirst
Anthem Blue Cross and Blue Shield
Blue Cross Blue Shield of Georgia
UnitedHealthcare / Optum
Beacon Health Options (Carelon Behavioral Health)
Kaiser Permanente
Amerigroup Community Care
Ambetter
Tricare
CareSource Georgia
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Sorry! At this time we do not accept that insurance policy. If you have questions, please call us and we'd be happy to talk more!
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First Name
Last Name
Email
Phone
Date of Birth
How Did You Hear About Our Program?
--- Select ---
Search Engine Result(Google, Bing, DuckDuckGo, etc.)
Facebook
Clinical Referral
Personal Referral
Other
Level Of Care Seeking
Residential
Partial Hospitalization
IOP
OP
*Insurance Provider
*Member ID
Are you the primary on the insurance?
Yes
No
Leave Us A Message
Submit
Insurances we accept
Insurance Providers