Get Why You May - University Of Washington

Filling out the WHY YOU MAY form for the University of Washington involves providing essential details regarding your insurance and billing information. This guide will support you through each step of the online form to ensure a smooth submission process.

Follow the steps to complete the form accurately.

1. Click the ‘Get Form’ button to access the form and open it in the provided editor.
2. Begin by entering your patient name and Medicare number in the designated fields.
3. Provide your birth date and information regarding DSHS Medicaid if applicable.
4. Fill out the section for medical insurance, including the subscriber's name, relationship to the subscriber, and their insurance group number.
5. Complete the dental insurance section in a similar manner, ensuring you include all relevant details.
6. If you require additional assistance regarding billing, contact the local or toll-free numbers provided in the form.
7. Sign the form where indicated, authorizing the release of relevant information to process your claim and verifying the billing policy.
8. Review all the information entered for accuracy before finalizing your submission.
9. Once completed, save your changes, and choose to download, print, or share the form as needed.

Complete your documents online to ensure your billing and insurance processing is handled efficiently.