The following information is needed to verify your acupuncture benefits. All responses are confidential and not seen until submitted.
Date of Birth
Insurance Company Name
Membership ID# (please include all letters if any)
Type of Plan (optional)
Phone number if contact by phone is preferred, otherwise you will receive an email response of your insurance acupuncture benefits (optional)
Thank you for your response. Please allow 2-3 days to receive your acupuncture benefits.
All responses are confidential and not seen until submitted. Sun Cho Acupuncture
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