Verify Insurance — Required Documents

Please upload clear photos or PDFs of the items below so we can confirm your ABA benefits. We’ll review and respond within 1–2 business days.

Insurance Documents

  • Insurance card (front & back) — clear, readable images
  • Insurance carrier, Member ID, Group ID (if applicable)
  • Policyholder name & date of birth
  • Customer service/benefits phone number (on card)

Patient & Policy Info

  • Child’s full name & date of birth
  • Home address, best contact phone & email
  • Relationship to policyholder (self/child/dependent)
  • Preferred language (optional)

Clinical Documentation

  • Diagnostic report (e.g., ASD evaluation)
  • Referral / prescription for ABA (if plan requires)
  • IEP/School plan pages with relevant goals (if available)

Helpful (Optional)

  • Prior ABA authorization or denial letters
  • Recent progress notes summarizing needs
  • Secondary insurance card (if applicable)

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