Any eligibility and benefit verification information provided by us is not a guarantee of benefits. We cannot determine if a claim is eligible for payment until it is filed and reviewed. Claims are subject to all contract or policy terms, conditions, exclusions and limitations. The information provided in this verification is as of the date of this document.
Lookup benefit information:
Please enter information exactly as it appears on the ID card.
First Name:  
Last Name:  
Middle Initial:
Policy #:  

Would you like to submit an electronic predetermination of benefits? Follow these steps:
  1. Submit an electronic predetermination using your EDI vendor. Our Payer ID is 23160.

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