Update Your Insurance

If you would like to update the insurance information we have on file or provide us with new insurance details, please use Children’s Connect or complete the form below.

How to Update Your Insurance on Children’s Connect

  1. Log in to Children’s Connect.
  2. Go to the Menu and select Insurance Summary.
  3. Click Add a coverage for new insurance, or Edit to update current insurance information.
  4. Upload clear pictures of the front and back of the insurance card.
  5. Review the details and click Save.

"*" indicates required fields

Patient Name*







Primary Insurance Information

Primary Insurance Policyholder Name*







Effective Date of Policy*



Primary Insurance Company's Mailing Address*















Secondary Insurance Information

Secondary Insurance Policyholder Name







Effective Date of Policy



Insurance Company's Mailing Address















Individual Providing Information

Your Name*







This field is for validation purposes and should be left unchanged.








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