Acupuncture Insurance Verification 

Check your coverage and eligibility

Thank you for choosing Slope Wellness for your health and wellness needs. To help us provide you with a smooth billing process, please complete this secure insurance verification form so that we can verify your acupuncture benefits.

What You’ll Need:
• Your insurance card
• Patient information (name, date of birth, contact details)
• Insurance policy details (ID number, group number)
• Primary policyholder name and date of birth (if you’re not the primary)
• Phone number for provider services (typically found on the back of your insurance card)

Privacy & Security:
This form is HIPAA-compliant and uses advanced encryption to protect your personal and medical information. All data is securely transmitted and accessible only to authorized staff members.

Insurance & Billing:
As a courtesy, we verify acupuncture benefits for all insurance plans and provide billing services for in-network and some out-of-network policies.

We are in-network acupuncture providers with Oxford, Blue Cross Blue Shield, and UnitedHealthcare. We also participate in American Specialty Health (ASH) and WholeHealth Living programs, which may allow for discounted acupuncture rates for insurance plans that do not include a specific acupuncture benefit. Many major insurance companies participate in these programs, including Aetna, Blue Cross Blue Shield, GHI, EmblemHealth, HIP, and others.

We also accept HSA and Flexible Spending Account (FSA) payments and can provide a detailed invoice or superbill when needed.

What Happens Next:
Once you submit the form, our billing team will verify your acupuncture benefits. Please allow 3 – 4 business days to hear back from us by email with a summary of your benefits. If we need additional information, we’ll contact you using the phone number or email provided.
Please be advised that a quote of benefits is not a guarantee of coverage or reimbursement. Insurance benefits are subject to your individual plan, eligibility, deductibles, authorizations, and the determination of your insurance company. It is ultimately the patient’s responsibility to understand their own insurance benefits and financial responsibility.

Important: Any acupuncture services rendered before your benefits have been verified,must be paid in full. If any paid in full visit(s) are covered and there is a payment discrepancy, we will reimburse you for the difference.

We do not submit insurance claims for massage therapy. However, FSA cards are accepted for eligible services, and superbills can be provided upon request.

Need Assistance?
If you have difficulty completing this form or have questions about the insurance verification process, please contact our office at (718) 415-0738 during our regular business hours.

Please complete all required fields and upload clear images of the front and back of your insurance card.