Eligibility and Benefits Work Sheet

This is a guide that you can print out and use to call your insurance company prior to your visit to see what your eligibility and coverage is.  The work sheet includes the common office visit level codes and your insurance carrier should be able to give you a cost range for your visit using these codes. 

If your provider recommends a treatment or procedure for you we can provide those codes as well. Everyone’s health insurance plan is a little different and we are unable to know the terms of your specific plan.

Benefits and Eligibility Work Sheet