• Insurance Billing Form

    Please bring your insurance card(s) and photo ID to your appointment. 

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    • Begin: Access Code Required  
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    • End: Access Code Required  
    • I agree that the doctor's billing department is authorized to submit insurance claims and follow up on insurance payments on behalf of my doctor.

      For Billing or Insurance questions please call Terri at Echo Billing Solutions 847-847-1792 ext. 68 or email Terri@echobillingsolutions.com

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