Verify My Insurance

Welcome to Healing Roots! If you are a new patient interested in having us bill insurance on your behalf, please fill the form below. Our fabulous biller can do a courtesy check of your benefits if she has at least two full business days to do this before your appointment.

All fields marked with an asterisk * are required. All of your information is encrypted and secure in accordance with the HIPPA Notice of Privacy Practices.

Alternatively, you can verify benefits yourself by downloading this form, printing it, calling your insurance company, filling it out and bringing it to us at your first appointment.

DISCLAIMER:  Healing Roots, PLLC doesn’t offer guarantee of insurance payment.

Name
Date of Birth
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yyyy
Contact Info
Date of Your Initial Appointment
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yyyy
Policy Holder (if other than patient)
Date of Birth
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yyyy
Insurance Info