Express Verification

Submitting requests for DME for your patients is easy…simply complete the form below and click Submit. We will verify each patient’s insurance coverage and contact you with status. We respond to each request in a timely manner… you will typically hear back from us within a matter of hours. Requests submitted after the close of business will be processed promptly on the next business day.

All information provided is confidential and utilized in order to verify coverage and benefits with each patient’s insurance company. Information will not be distributed to any other third party provider(s).

If you prefer to submit your DME request using our paperwork, please click here.

Note: You may now submit up to three patient verification requests on one form. Once you are done entering patient information, click SUBMIT at the very bottom of this form.


Contact Us

SMG Mediquip, LLC
P.O. Box 736
Bethpage, NY 11714
516.586.4934 (phone)
800.717.2573 (fax)
800.211.0404 (fax)