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In Network Request Form

Luna Medical > Contact Us > In Network Request Form

If you would like Luna Medical to become "in-network" for your insurance provider, please submit the form below.

* = required fields

* Insurance Company Name:

* Insurance Claims Address:

* City:

* State:

* Zip Code:

* Insurance Provider Customer Service Phone:

* Insurance Member Customer Service Phone:

Insurance Company







PLEASE NOTE THAT DUE TO THE INFLUX OF MEDICARE & MEDICARE REPLACEMENT PLAN BENEFIT VERIFICATION REQUESTS WE ARE EXPERIENCING AN INCREDIBLY HIGHER THAN NORMAL VOLUME IN FAXES, EMAILS & PHONE CALLS. WE CHECK BENEFITS ON A FIRST COME FIRST SERVED BASIS, PLEASE UNDERSTAND THAT AS OF RIGHT NOW, IT COULD TAKE UP TO 7 BUSINESS DAYS FOR VERIFICATION REQUESTS TO BE ANSWERED. WE UNDERSTAND THIS IS NOT IDEAL NOR WHAT YOU ARE ACCUSTOMED TO WHEN IT COMES TO LUNA MEDICAL’S SERVICES, WE HAVE HIRED MORE STAFF TO HELP AND THIS IS JUST A TRANSITION PERIOD. PLEASE ALLOW THE TIME FOR THE BENEFIT VERIFICATIONS—IT MAY NOT ALWAYS TAKE THAT LONG BUT IT WILL NEVER TAKE LONGER. NO NEED TO CALL REPEATEDLY AND LEAVE SEVERAL MESSAGES AS IT WILL DELAY THE PROCESS. WE UNDERSTAND EVERYTHING IS URGENT RIGHT NOW AND TRUST US—WE WANT TO HELP! THANK YOU AND WE APOLOGIZE FOR ANY INCONVENIENCE.