Pediatric Patient Insurance Verification Form

Comprehensive Insurance Information Collection Template

Pediatrics

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Last updated: Mar 24, 2025

Patient Information

  • Full Name: _________________________ Date of Birth: //____
  • Medical Record #: ___________________ Social Security #: --___
  • Primary Address: ________________________________________________

Primary Insurance Information

  • Insurance Company Name: ________________________________________
  • Policy ID #: ____________________ Group #: ______________________
  • Policy Holder Name: ____________________________________________
  • Relationship to Patient: ☐ Parent ☐ Guardian ☐ Other: ____________
  • Policy Holder DOB: //____ SSN: --___
  • Employer: ____________________________________________________

Secondary Insurance Information (if applicable)

  • Insurance Company Name: ________________________________________
  • Policy ID #: ____________________ Group #: ______________________
  • Policy Holder Name: ____________________________________________
  • Relationship to Patient: ☐ Parent ☐ Guardian ☐ Other: ____________

Authorization

  • Prior Authorization Required? ☐ Yes ☐ No
  • Referral Required? ☐ Yes ☐ No
  • Co-pay Amount: $_______
  • Deductible: $_______ Amount Met: $_______

Verification Details

  • Date Verified: //____
  • Staff Member: ________________________________________________
  • Insurance Rep Name: __________________________________________
  • Reference #: ________________________________________________

Coverage Information

  • Well Child Visits: ☐ Covered ☐ Not Covered
  • Immunizations: ☐ Covered ☐ Not Covered
  • Specialist Referrals: ☐ Covered ☐ Not Covered
  • Lab Work: ☐ Covered ☐ Not Covered

Additional Notes



This information is valid as of verification date and subject to change

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