Sol Integrative Insurance benefit check request form

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Sol Integrative Insurance benefit check request form

Please complete the following fields 48 hours prior to your scheduled appointment. So we can check your benefits prior to your massage appointment with Sol Integrative!

Your benefit check is a courtesy and does not guarantee coverage. If your insurance does not cover your massage you are responsible for the out of pocket rate.

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* Indicates required question

Email *

Your email

First & Last Name *

Your answer

Phone number *

Your answer

Insurance Company *

Your answer

Subscriber ID *

Your answer

Date of birth *

MM

/

DD

/

YYYY

Provider phone from the back of your card

Your answer

Submit

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