Provider Resources and Forms

Thank you for choosing Oral Sleep Medicine of Arizona to help your patients get the services and treatment they need. We look forward to helping your patients improve their sleep health. Let us know what we can do for you; we are here to make your job easier.

Dental Insurances

We accept the following insurances:

• AARP United Medicare Complete
• Ameriben
• Banner
• Banner Employee Plans
• Blue Cross Blue Shield
• Blue Medicare Advantage
• Cigna

• Cigna SureFit
• Health Net Senior
• Medicare
• Tricare
• UMR
• United Healthcare
• VA (Still Need Prior Auth and Referral)

If you do not see a specific insurance listed, please go ahead and send over the referral. We are able to apply for GAP insurance.

Downloadable Forms

All forms are available in pdf for easy download:

• Dental Device Prescription
• GAP Extension Letter
• Official Appeal Form
• Provider Authorization Form
• Dental Device Script

Please let us know if you need any assistance by calling 480-503-0967.