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Insurance & Fees

Please bring in any of your insurance (Medicaid, DSHS, Medical, Dental) cards into the dental office/surgery center on the day of surgery. We will make a copy of them for billing purposes.

Download M2 Anesthesia Insurance Form

 

Medicaid (DSHS/OHP):

For those patients who have Medicaid insurance, no money will be collected. We will bill Medicaid directly. If you have Oregon Health Plan please contact us to verify if we are contracted with your specific plan.

Cash Pay, Private Insurance:

  • A competitive set fee must be pre-paid before the day of service; this will be the maximum out-of- pocket fee for which you will be responsible. Please contact M2 Anesthesia if you have not received an email with your fee due.
  • Our office does not have any specific information regarding pre-authorizations, exclusions, limitations, or waiting periods that may be required by your insurance. If you have any questions, please contact your insurance company. We bill medical procedure code 00170.
  • M2 Anesthesia is NOT contracted with any insurance company. We will bill your medical insurance, if possible, to collect the remainder of the fees due.
  • If we do not collect from your insurance, we will not bill you for the remainder due on the account. If we collect and there is an overpayment from the TOTAL due based on the complete anesthesia time billed for the case, we will process a partial refund in the amount of the overage to your account. The refund, if any, will be processed in the form it was received.
  • Billing insurance companies can be a very long drawn-out process because we are out of network (2-4 months) so please be patient. Our goal is to bill your insurance company and refund you the difference if they pay your account in full. We make NO guarantee of what your insurance company will pay; this is a contracted benefit between you and your insurance company.

We are unable to submit medical claims to:

TRICARE, BCBS FEDERAL PLANS, KAISER AND PROVIDENCE

Please contact our office if you have any questions.

PLEASE FILL OUT THE MEDICAL INSURANCE INFORMATION PAGE

AND IT WILL BE EMAILED DIRECTLY TO M2 ANESTHESIA. WE WILL CONTACT YOU IF WE HAVE ANY QUESTIONS OR NEED MORE INFORMATION.

1 Service/Patient Info
2 Insurance Information: Subscriber
3 Insurance Information: Medical Insurance
  • Date Format: MM slash DD slash YYYY
  • Patient Info