Benefits Investigation - As You Are

Schedule an evaluation

To best understand your child’s individual health benefits and any potential out of pocket patient responsibility, our team will conduct a benefits investigation on your behalf prior to your first appointment. To get started, please complete the form below.

The benefits investigation could take between 3-5 business days. Once information is received from your child’s health insurance company, our team will reach out via phone to review this information with the parent or guardian. At that time you can confirm whether or not you would like to move forward with your As You Are appointment. Please note that no charges will occur until after your child’s first appointment with a physician.

Insurance Investigation

Patient Name(Required)

First Last

Patient Date of Birth(Required)

Insurance Name(Required)

Insurance ID #(Required)

Insurance Group #

Insurance Phone # (located on the back of the card)(Required)

Guardian Phone #(Required)

Guardian Email(Required)

*required field

We are available to answer any of your questions between 7:00 AM and 7:00 PM Eastern.

Aetna • Blue Cross Blue Shield • Medicaid • TriCare • United Healthcare

Don’t see your health insurance provider listed? Don’t get discouraged! We work with commercial insurance plans, TRICARE, traditional state Medicaid plans and managed care partners. We are constantly expanding our relationships as we grow. And, as a part of our process, our support team will review a child’s insurance benefits with their parent or guardian before the first appointment. To get started families can submit this form or contact our support team at 866.219.8595. Participation may vary by state and each child’s health insurance benefits.