Insurance Verification | Liberty Bay Recovery Center

Would you like to learn more about our rehab center and the services we offer? Contact Liberty Bay Recovery Center by filling out the form below. One of our admissions professionals will be in touch with you shortly, or call us at 855-607-8758.

Insurance Information
Would you like us to verify your or a loved ones insurance benefits?*
- Yes
- No
Primary Insured Name*
First Last
Primary Insured Date Of Birth*
MM
DD
YYYY
Primary Insured Address**
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Insurance Company's Name*
Insurance Company's Phone Number*
Member ID*
Group Number*
Subscriber relationship to client*
Who is seeking treatment?*
- Yourself
- A Loved One
Loved Ones Information
Your Information
Loved Ones Name*
First Last
Loved Ones Date of Birth*
MM
DD
YYYY
Your Name*
First Last
Date of Birth*
MM
DD
YYYY
Additional Information
Person of Contact's Name*
First Last
Person of Contact's Phone Number*
CAPTCHA

Insurance Information

Loved Ones Information

Your Information

Leave a Reply Cancel reply

DISCOVER

LIBERTY BAY

TODAY.

Liberty Bay Recovery Center