Preparing for Your Visit

Patient Information & Forms
All in One Place

Download new patient forms, review insurance information, send updated documents, and prepare for your appointment with Anthony L. Cuppari, MD, FACS.

PREPARE FOR YOUR VISIT

Before Your Appointment

Prepare for your appointment with Anthony L. Cuppari, MD, FACS by completing these simple steps before your visit.

1

Download Patient Forms

Download and save the New Patient Packet before your first appointment.

2

Complete Your Forms

Complete all required sections and sign where indicated.

3

Email, Fax or Bring Forms

Send completed forms to Patient Services, fax them to the office, or bring a printed copy to your appointment.

4

Email or Bring ID & Insurance Cards

You can email the front and back of your photo ID and insurance cards with your New Patient Packet, or bring them with you to your appointment. Please also bring a referral if required by your insurance plan.

Patient Forms & Records

Patient Forms & Directions

Download the appropriate form below. Once completed, send your forms and any requested documents to Patient Services using the email or fax information below.

Sending Forms & Updated Insurance Cards

Email or fax completed documents to Patient Services

After completing your forms, send them to our office along with any updated insurance information or requested identification.

  • Completed patient forms
  • Front & back of insurance cards
  • Photo ID / driver's license, when requested
  • Referrals or medical-record documents
Using your phone? Take clear photos of the front and back of your cards, then attach the photos to your email.
info@cupparimd.com
Fax: (973) 966-8910
Email Patient Services
Please do not email urgent medical concerns or Social Security numbers.

Insurance Information

Anthony L. Cuppari, MD, FACS participates with many major insurance plans. Participation varies by plan, network and product. Please confirm your specific coverage prior to your appointment.

Insurance participation does not guarantee coverage. Please confirm network status and any referral or authorization requirements with your insurance plan.

New Patient Packet

Complete the fillable New Patient Packet before your first appointment. Save the completed PDF and email it to Patient Services at INFO@CUPPARIMD.COM or print it and bring it with you to the office.

Pay a Bill Online

Securely and conveniently pay an office balance online at any time.

Participating Insurance Plans

A–C

1199SEIU
AARP
AARP Medicare Advantage
Aetna
AmeriHealth
BCBS Federal
Beech Street
Blue Cross Blue Shield
Braven Health
CHAMPVA
Cigna
Clover Health

E–M

EmblemHealth
Globe Life
Golden Rule
Gravie
HealthSpring Medicare Advantage
Horizon Blue Cross Blue Shield of New Jersey
Horizon NJ Health
Humana
Independence Blue Cross
MagnaCare
Medicare
Meritain Health
Most Medicare Advantage Plans
Mutual of Omaha
MVP Health Care

N–W

NALC Health Benefit Plan
Optum Care
Oscar Health
PHCS
Surest
The Loomis Company
Transamerica
TRICARE / TRIWEST
UMR
UnitedHealthcare
UnitedHealthcare Global / USNAS
UnitedHealthcare Oxford
UnitedHealthOne / Golden Rule
WebTPA

Workers' Compensation

AmTrust • Broadspire • First MCO • The Hartford • Liberty Mutual • New Jersey Manufacturers • Sedgwick • Sentry Insurance • Travelers

Common Questions

For your appointment with Anthony L. Cuppari, MD, FACS, please bring your photo ID, current insurance card, medication list, and any relevant medical records, test results, or imaging reports. If another physician referred you, please also bring any referral or authorization required by your insurance plan.

If your insurance plan requires a copayment, please be prepared to make your copayment at the time of your visit.

Referral requirements depend on your individual insurance plan. Some plans require a referral from your primary care physician before a general surgery consultation with Dr. Cuppari. We recommend checking with your insurance company before your appointment if you are unsure.

New patients seeing Dr. Cuppari should complete the Patient Information, Health History, and HIPAA forms before their first appointment. Completing your forms ahead of time can help make the check-in process quicker and easier.

PLEASE SEND THESE DOCUMENTS WITH YOUR PATIENT PACKET

Please email your completed New Patient Packet along with a clear copy or photo of your photo ID (such as a driver’s license) and the front and back of your insurance card to INFO@CUPPARIMD.COM.

Medical records, test results, referrals, and other requested information may be sent to our office by fax or the designated Patient Services email. Please include the patient’s name and date of birth so the information can be properly matched to the patient’s record.

FAX: (973) 966-8910