Update your Insurance - Pivotal Counseling Center

Please enter your insurance information below. Our Billing Administrator will verify your benefits and email you a copy of what you can expect. We aim to be in touch with you in one business day.

Name *

Date of Birth *

Phone Number *

Email *

Please select your insurance *

Subscriber Name *

Subscriber Date of Birth *

Insurance ID or RIN # *

Group # *

If you do not have a group number, please enter 000

EAP Company Name, Phone # & Authorization # (if applicable)

Customer Service # on the back of your card *

Therapist Name

Additional Information

This form isn’t monitored around the clock. If you’re in crisis, call or text 988 or call 911.