Orthopedic Patient Insurance Verification Form

Comprehensive Insurance Information Collection Template

Orthopedics

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Last updated: Mar 24, 2025

Patient Information

  • Full Name: _________________ Date of Birth: _________________
  • Address: _________________ City/State/ZIP: _________________
  • Phone: _________________ Email: _________________

Primary Insurance Information

  • Insurance Company Name: _________________
  • Policy Number: _________________ Group Number: _________________
  • Policy Holder Name: _________________ DOB: _________________
  • Relationship to Patient: □ Self □ Spouse □ Parent □ Other: _________________

Secondary Insurance Information (if applicable)

  • Insurance Company Name: _________________
  • Policy Number: _________________ Group Number: _________________
  • Policy Holder Name: _________________ DOB: _________________
  • Relationship to Patient: □ Self □ Spouse □ Parent □ Other: _________________

Workers' Compensation Information (if applicable)

  • Claim Number: _________________ Date of Injury: _________________
  • Employer Name: _________________ Contact: _________________
  • Adjuster Name: _________________ Phone: _________________

Authorization Requirements

  • □ Prior Authorization Required
  • □ Referral Required
  • Authorization Number: _________________
  • Number of Visits Approved: _________________
  • Valid From: _________________ To: _________________

Benefits Verification (Staff Use Only)

  • Deductible: $________ Amount Met: $________
  • Co-Insurance: % Co-Pay: $
  • Visit Limit per Year: ________ Visits Used: ________
  • Out-of-Pocket Maximum: $________ Amount Met: $________

Staff Verification

  • Verified By: _________________ Date: _________________
  • Time: _________________ Reference #: _________________

Note: This form must be completed and verified prior to initial visit

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