This form allows you to submit your insurance information directly to our billing company. If you have any questions, please contact them at 660-829-4046, Monday through Friday, 8:00 AM to 4:00 PM. Alternatively, you can make a copy of your insurance cards and fax them to 660-829-4021 or email them to help@colecampems.com.
In the "Additional Information" section, please include any relevant details such as if this was a car accident, work-related injury (including your employer), or any other information you believe is important. Our goal is to bill your insurance in the most efficient way to ensure prompt payment.
Section Tools
Hello
What is a Passkey?
Imagine signing into your account as easily as unlocking your phone—no more worrying about remembering or typing a password. A passkey is a secure digital key that uses the safety features in your device to keep your account protected. It’s designed to be both simple to use and highly secure.
Ready to experience a simpler, safer sign-in? Click the button above to create your passkey now.