Get In Touch New and existing clients schedule your session: Schedule here hello@heymoxi.com917.866.5860 598 Broadway 12th FloorNew York, NY 10012 We would be happy to assist in verifying your benefits and eligibility. Get started by filling out the form below. Full Name -- As it appears on your insurance card. * First Name Last Name Email * Phone * (###) ### #### Your date of birth: * MM DD YYYY Policy Holder * I am the policy holder I am not the policy holder If you are not the policy holder please provide the policy holder's name: Policy holder's date of birth: MM DD YYYY Mailing address (associated with the policy): * Address 1 Address 2 City State/Province Zip/Postal Code Country Your insurance company: * Aetna Blue Cross Blue Shield Cigna Meritain Health United Healthcare Other Your insurance company (if not listed above): Your member ID: * Provider telephone number (listed on the back of your card): * (###) ### #### The service/s you are interested in: * For example: Acupuncture, Microneedling, Massage Therapy, etc. IMPORTANT: * I understand that benefits and eligibility are performed as a courtesy by the clinic. I understand that any benefits quoted are based on information provided at the time of verification, and are not a guarantee of payment. Thank you!Please allow 1-3 business days for a full breakdown of your benefits and eligibility. All benefits quoted are based on information provided at the time of verification, are based on insurance paying at the full allowed amount, and are not a guarantee of payment. If your insurance pays at less than the maximum allowable amount your contribution could vary.
