Check Eligibility & Benefits

PROVIDERS: If you are trying to verify eligibility and benefits for a patient who has a scheduled appointment or procedure within the next 24 hours, please contact the Customer Service phone number on the patient’s ID card.

Please complete the form below to request eligibility and benefits information. Note that you must identify your provider network status. If you are unsure of your provider network status, please contact the provider network.
Fields marked with an asterisk (*) are required.

Health Care Providers

Check Eligibility & Benefits

PROVIDERS: If you are trying to verify eligibility and benefits for a patient who has a scheduled appointment or procedure within the next 24 hours, please contact the Customer Service phone number on the patient’s ID card.