Verify Your Insurance Benefits

Name^*

Email Id^*

Phone Number^*

Zip Code^* (Zip code associated with your home address on file with your health insurance carrier)

Date of Birth (D-O-B)^*

Primary Insurance Carrier^*
(Who administers your policy e.g., CareFirst, BlueCross BlueShield, Aetna, Cigna, United Healthcare, Kaiser…)

Member Number / Member ID^*
(Usually a combination of letters and numbers)

Group Number^*
(Also sometimes called "Enrollment Code")