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Account number is listed on your statement. Enter it as it appears on your statement

Please enter the patient's date of birth, not the guarantor

Why do we ask for Date of Birth?
Protecting your private health information is our utmost concern. In order to authenticate your account and conform to HIPAA (Health Insurance Portability and Accountability Act of 1996) security standards, we require two forms of identification. HIPAA is United States legislation that provides data privacy and security provisions for safeguarding medical information.