Advocate Health Care
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Welcome to our Patient Financial Services Center

 


Type in the insurance changes in the Updated Primary Insurance Information table.
   * Required Field

Account Number: *
The account number is the 10 digit number located on your statement
   
Primary Insurance Name: *
Address*
City: *
State: *
Zip Code: *
Policy Number: * (See your ID card)
Group Number: *
Policy Holder: *
Policy Holder Date of Birth: *
Effective Date: *
Your Email *
Contact Phone: *
          

 
 
PATIENT INSURANCE UPDATE FORM

YOUR INSURACE INFORMATION HAS BEEN SENT
Upon confirmation, we will bill your insurance company.

THANK YOU!

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