Address:
610 South Bailey Street
Palmer, AK 99645

Phone:
907-745-4146
Toll-Free: 877-488-4146

Authorization to Bill (ATB)

Can we bill your insurance? In some cases the billing department will need your signature to authorize them to bill your insurance company. You may have revceived a letter in the mail with this form on the back of the letter. If you have, please fill out the information, sign it and return it in the envelope provided. If you have misplaced your ATB, click here to print one, fill it out and mail it to the address listed above.