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INSURANCE REQUEST

Request an insurance callback

Share how to reach you. Our team will help you arrange an individual benefits review.

Your contact preferences

Review your selected equipment and contact details before submitting. Our team receives them together so we know which products you want to discuss. You can also request a callback without choosing equipment.

  1. Your details
  2. Review & submit

Step 1 of 2: Your details

Insurance callback contact details

How can we contact you?

Your name, phone number and email are required.

Enter your 10 digit number. A leading +1 is also accepted.

Use an email address where we can reach you.

Contact preferences Optional

We will use this method first.

Arizona time. This is a preference, not an appointment.

No insurance member IDs or medical records are needed. You can review your details before submitting.

Prefer to speak with us? (480) 550-8566

Medrax is an out of network supplier. A callback request does not confirm eligibility, coverage, approval, an order or an insurance claim. A prescription and additional documentation may be required. Patient responsibility depends on your plan and individual review.

Request Insurance ReviewCall our team