INSURANCE VERIFICATION

Realize Behavioral Health is an out-of-network provider and collect payment at the time of service. If you have a PPO insurance plan with out-of-network benefits, you may be able eligible for full or partial reimbursement for some of our services.

If you have an HMO or EPO insurance plan, Medi-Cal or Medicare, our services are NOT covered by your insurance. Please do not submit this form.

If you would like Realize Behavioral Health to verify your coverage and obtain the reimbursement rate you may receive, please complete and submit the following information. All fields are required for processing. We will contact you with your coverage information within two business days.

Please keep in mind anytime insurance is billed certain health information must be provided and diagnostic codes which will be placed in your health record. Diagnostic codes may affect future insurance policies such as life insurance, long-term disability insurance and certain security clearances.

We look forward to working with you.

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All clients regardless of insurance coverage pay their services fees on the day the service is provided. If your insurance covers our services, our insurance billing company will bill your insurance provider on your behalf. Any benefits paid to you by your insurance company will be mailed to you directly. We cannot guarantee that your insurance will reimburse you for any of our services even if it is covered by your policy.