I Have Insurance

Do you have insurance that should have paid an account we are trying to collect from you? Please update your insurance and at least one of the USCB America account numbers using this form so we can review your coverage and attempt to get your insurance billed.

Your Name *

E-Mail Address *

USCB America Account Number(s) *

Insurance Name *

Policy Holder

Policy Number *

Group Number

Insurance Phone Number

This communication is from a debt collector. This is an attempt to collect a debt and any information obtained will be used for that purpose.

Are you human? *