REQUIRED: you must call 884-way2pay (844-929-2729) in order to finalize your approval process; CarePayUSA needs to set up your account in order for you to be able to schedule your treatment/procedure and finalize your enrolment.
Congratulations! Your application has been accepted!
Certificate of funds approval
This certificate is presented to
This certificate verifies that at has been approved for Coverage up to from CarePayUSA.
Location of Services Rendered
Name:
Address:

Practitioner Information

Practitioner Name:
Practitioner Address:

Now What?

Simply print and take this page to your doctor’s office and confirm they are a participant with CarePayUSA. If they are not already an approved provider throughCarePayUSA, simply have your doctor’s office sign up today at:

Provider Sign Up Page
http://www.CarePayUSA.com/signup
Questions? Feel free to give us a call during office hours: +1 303 790 2300