Insurance Verification

The Ranch TN is ready to help you or someone you love regain stability and achieve independence. We realize that the financial implications of getting mental health or addiction treatment can cause apprehension. Fortunately, our mental health treatment center in Tennesee works with numerous national insurance providers to make treatment as accessible and as affordable as possible.

Please fill out the form below to get started on the insurance verification process. One of our recovery advisors will be in touch with you shortly. To reach out directly to our admissions team, call 1.844.876.7680.

Your Contact Information
Your Name*
First Last
Return Callback Phone Number*
Email*
Who is seeking treatment?*
- Yourself
- A Loved One
How Did You Hear About Us?
Loved One's Information
Your Information
Loved One's Name*
First Last
Loved One's Date Of Birth*
MM slash DD slash YYYY
Your Date Of Birth*
MM slash DD slash YYYY
Additional Information
Insurance Information
Would you like us to verify your or a loved one's insurance benefits?*
- Yes
- No
Policy Holder's Name*
First Last
Policy Holder's Date Of Birth*
MM slash DD slash YYYY
Policy Holder's Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Insurance Company's Name*
Insurance Company's Phone Number*
Member ID*
Group Number*
Subscriber relationship to client*

Your Contact Information

Loved One's Information

Your Information

Insurance Information

Overcome addiction and achieve your recovery goals!

Do you have questions?

Call our free helpline now.

Do you have questions?

Call our free helpline now.

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