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Agreement

I certify that the information on this form is correct to the best of my knowledge. By signing this form, I authorize Larsen Billing Service (LBS) to verify my primary insurance benefits and charge me the fee of $20. I authorize secondary insurance benefits to be verified for an additional fee of $10 if necessary.   Read More...

Larsen Billing Service specifically DISCLAIMS LIABILITY FOR INCIDENTAL OR CONSEQUENTIAL DAMAGES and assumes no responsibility or liability for any loss or damage suffered by any person as a result of the use or misuse of any of the information or content included in this Verification of Benefits report. Larsen Billing Service assumes or undertakes NO LIABILITY for any loss or damage suffered as a result of the use, misuse or reliance on the information and content on the Verification of Benefits report or findings.   Read More...

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