Update your insurance
Your name
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First Name
Last Name
Date of birth
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Month
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Day
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2 digit month, 2 digit day, 4 digit year
Date
Phone
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Please enter a valid phone number.
Format: (000) 000-0000.
By signing up for text messages, you agree to receive informational messages (appointment reminders, account notifications, etc.) from Urology Associates of Cape Cod at the number provided. Message frequency varies. Msg & data rates may apply. If you require assistance, reply HELP, or you can call (508) 771-9550, ext. 121 or email us at contact@uacc.cc to reach our office. You can opt-out at any time by replying STOP. View our Privacy Policy.
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This update is for...
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My upcoming first visit
My insurance changed
My upcoming surgery
Insurance company
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Front of your insurance card
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A phone photo is perfect - make sure the ID numbers are readable.
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of
Back of your insurance card
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A phone photo is perfect — make sure the ID numbers are readable.
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Do you have secondary insurance?
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Yes
No
Secondary - front of card
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A phone photo is perfect — make sure the ID numbers are readable.
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Secondary — back of card
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Browse Files
Drag and drop files here
Choose a file
A phone photo is perfect — make sure the ID numbers are readable.
Cancel
of
How should we confirm it's updated?
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Text message
Email
Phone call or voicemail
Email address
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example@example.com
Confirmation consent
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I agree to receive a brief confirmation message at the contact I provided above. I understand it will not contain medical details.
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