Contact Us | Wakefield & Associates

I certify that I am authorized to discuss the account above and any associated accounts. You agree, in order for us to service our account or to collect any amounts that you may owe, that we may contact you by Email as described above or telephone at any telephone number associated with your account, including wireless telephone numbers, which could result in charges to you. We may also contact you by sending text messages or e-mail, using any e-mail address you provide to us. Methods of contact may include using pre-recorded/artificial voice messages and/or the use of an automatic dialing device. I have read this disclosure and agree that Wakefield and Associates may contact me as described above.*

I Agree

Insurance Information

I wish to provide INSURANCE INFORMATION

Insurance Name

Insurance Address

Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code Country

Insurance Phone

Insurance Fax

Insurance Adjuster Name

Policy ID or Claim #

Group #

Medicare Suffix (If Medicare)

Policy Holder First Name

Policy Holder Last Name

Patient First Name

Patient Last Name

Date of Illness, Injury or Accident

Place of Employment

Employer Phone Number

Upload a copy of your insurance card (jpg, gif, png, pdf)

I Authorize Wakefield and Associates to discuss my debt with my insurance company for purposes of billing and payment, and if necessary, to contact my employer for additional insurance information.

I Agree

Monday - Thursday	8 AM - 8 PM
Friday	8 AM - 12 PM
Saturday - Sunday	Closed

Monday - Friday	8 AM - 8 PM
Saturday	8 AM - 12 PM
Sunday	Closed

Call Center Status

Colorado (MST)

Currently Closed

CALL:
+1 (800) 864-3870

Tennessee (EST)

OPEN

CALL:
+1 (800) 264-9399

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Thank-you!