Insurance Claim Forms

Mobile Med does not contract with insurance companies. 


Mobile Med believes that by operating as a direct pay service we can provide better care for our patients.  We can spend more time with patients, provide more treatment options and overall, help patients get better healthcare results.  


However, your provider will provide an invoice with descriptions of services provided, including appropriate treatment codes, for you to submit to your insurance company for possible reimbursement.  


For your convenience, below are resources for common insurance companies, including PDFs of claim forms.



Medical Mutual



United Health Care

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