Home/AmeriBen Insurance Verification AmeriBen Insurance Verification Will AmeriBen Cover Treatment for Mental Health and Substance Use Disorders? Prescott House Works Directly with All Insurance Providers Please enable JavaScript in your browser to complete this form.Is AmeriBen your Insurance Provider? *YesNoWho is your Insurance Provider?Policy Holder Name *FirstLastClient Name (if different)FirstLastPhone Number *EmailUpload photos of your Insurance Card? *YesNoDate of Birth *Plan State *-AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingInsurance Policy ID *Insurance Group ID *Insurance Provider 1-800 Number (on back of card) *Photo of Insurance Card (Front) * Click or drag a file to this area to upload. Photo of Insurance Card (Back) * Click or drag a file to this area to upload. Policy Holder Date of Birth *Month/Day/YearClient Date of Birth (if different)Month/Day/YearPhoneSubmit