Below you will find the PreferredMD Benefits Verification form. This form allows you to obtain your patients benefits prior to a procedure. Please complete all pertinent information to obtain results in 24 hours or less. Upon completing the form a PreferredMD Benefits Verification Specialist will reach out to the insurance company to determine all in and out of network benefits. Upon completion, a report will be emailed to you with all the necessary information. Please ensure that you keep a copy for your records.