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Verify My Benefits for Employers

Verify My Benefits for Employers

Please use this form to allow the Southwest Dietitian Group to verify your Company's medical nutrition therapy benefits. You will use YOUR insurance card to complete this form, reflective of the same insurance plan of your employees. All fields must be completed and the photos must be clear or we will be unable to proces your request. ***Verification of benefits is NOT a guarantee of benefits. By completing this form you understand and agree.*** 
7Questions

HIPAA

Compliance

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    Please enter carefully! If entered wrong, we have no way to contact you back!
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    If the photo is not legible we will not be able to verify your benefits.
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    Max. file size: 10.6MB
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    This information can often be determined through claims reports.
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