Welcome to If you were directed to this website by your healthcare provider, it's because you were recently treated because of injuries sustained in an automobile accident, work related accident, or other accident. The registration staff of your treating facility does not have sufficient information to bill the proper insurance. Please understand that ultimately you are responsible for providing this information so that the correct insurance can be billed. The purpose of this site is simply to provide a user-friendly and convenient way to provide your treating facility this information.

Please also be advised that no personal information will be asked of you on this site.

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