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HIPAA-COMPLIANT • SECURE INSURANCE VERIFICATION

Therapy Insurance Verification

Complete the secure form below if you are a current or prospective psychotherapy client and would like your insurance benefits verified for services with Dr. Matthew Diner. The information you provide will be used to review your plan's benefits and determine how they may apply to services.

Secure Submission Current & Prospective Clients Benefits Verification Confidential Information

Important: Verification of benefits is not a guarantee of coverage or payment. Insurance benefits are based on information provided by your health plan and may be subject to deductibles, coinsurance, copayments, authorization requirements, and other plan provisions.

Secure Form

Insurance Information

Please complete all required fields as they appear on your insurance card. Providing accurate information will help facilitate verification of your benefits.

Secure & Confidential Your insurance information is submitted through a secure, HIPAA-compliant form.

Please use this form only for insurance information related to psychotherapy services. Do not use this form for urgent clinical concerns or emergencies.

Other Ways to Verify Benefits

Using Alma or Headway?

If you plan to receive psychotherapy services through Alma or Headway, you can also check your insurance eligibility and estimated costs directly through the platform.

Insurance eligibility, coverage information, and cost estimates provided by Alma or Headway are determined by the respective platform and your insurance plan.