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  • More
    • Home
    • Regenerative Medicine
      • Regenerative Medicine
      • ReActiv8
      • Neuromuscular Control
    • Contact
      • Schedule Appointment
      • Contact Information
      • Our Locations
      • About Us
    • Payments
      • Payments
      • Insurance
    • Legal
      • Disclosures
      • Privacy Policy
  • Home
  • Regenerative Medicine
    • Regenerative Medicine
    • ReActiv8
    • Neuromuscular Control
  • Contact
    • Schedule Appointment
    • Contact Information
    • Our Locations
    • About Us
  • Payments
    • Payments
    • Insurance
  • Legal
    • Disclosures
    • Privacy Policy

Insurance Forms

Florida Blue - Medical Reimbursement Form

https://www.floridablue.com/sites/floridablue.com/files/68422-0214_Major_Medical_Claim_writable.pdf

FL Aetna - Medical Reimbursement Form

https://www.aetna.com/document-library/individuals-families-health-insurance/document-library/medical-claim-form.pdf

FL United - Medical Reimbursement Form

https://www.uhc.com/medicare/content/dam/UCP/Group/2020/uc/-UC_Medical_Reimbursement_Request_Form.pdf

FL Humana - Medical Reimbursement Form

https://docushare-web.apps.external.pioneer.humana.com/Marketing/docushare-app?file=4199793

FL Cigna - Medical Reimbursement Form

https://www.cigna.com/static/www-cigna-com/docs/form-medical-claim.pdf

*Not Participating in Medicare in Florida and Wyoming

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