Insurance Billing Information

Insurance Billing

Benefits will be verified before insurance is accepted in lieu of payment.
Call (541)241-3135 for a free benefits check fill out the form below.

James Whitmore LAc is in network with:
Providence, Regence, Pacific Source, United Health Care, First Choice Health, Multi Plan, Tri-West, and More.

MVA (Motor Vehicle Accident) & Worker Comp Cases:
All are are accepted with a claim number, at no cost to you.
Call us to find out more.

Dr. Amy Ayla Wolf, DAOM, LAc is ONLY in network with:
Blue Cross Blue Shield
First Choice Health

Dr. Wolf also accept patients with motor vehicle claims and workers compensation claims, (excluding SAIF/Majoris at this time).

Acupuncture Insurance Benefits Check Form

* Indicates required field

Name *

First

Last

Date of Birth *

Email *

Phone Number *

Preferred Communication *

Phone (most secure) Email

Insurance Company *

ID or Member # *

Group # *

Main Person on Policy? *

Yes No

Name of Main Policy Holder *

Date of Birth *

Relationship *

Submit information

Insurance Billing

Acupuncture Insurance Benefits Check Form

(541)241-3135 461 NE Greenwood Ave, Ste A, Bend, OR 97701 info@EvolutionaryMed.com