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Mon - Fri 7:00 am - 4:00 pm (206) 605-5933kim@m2sleep.com

Insurance Form

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

 

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.

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