Insurance Forms

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Insurance Claim Forms

Mobile Med does not contract with insurance companies.

Mobile Med believes that by operating as a direct payment service we can provide better care for our patients. We can spend more time with patients, provide more treatment options and help patients get better healthcare results.

However, your provider will give you an invoice with descriptions of services, including appropriate treatment codes, that you can submit to your insurance company for possible reimbursement.

For your convenience, below are links to common insurance companies’ resources and PDFs of claim forms.

Aetna

PDF

Anthem

PDF

Cigna

PDF

Humana

PDF

Medical Mutual

PDF

United Health Care

PDF
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