Integrative and holistic approach to natural birth and women's wellness

Verification of Benefits

Our verification of benefits is completed by our trusted friends at Favored Medical Billing Service. Your verification will be provided to Blossom  from Favored within 2-3 business days. Upon receipt of your completed verification, Blossom will contact you to discuss your estimated patient responsibility.

If you do not hear from our staff at Blossom after 2-3 business days, please contact the office at (602) 256-7766 or email through our contact form.

To receive your benefit breakdown, please complete this form in its entirety.

*Required Fields

Patient Information:

Insurance Information:

Additional Notes and Questions

Please provide any additional questions or requests regarding your verification below:

Secondary Insurance Policy

IF you have a secondary policy please complete the section below: