Please call the customer service phone number located on your statement/bill and one of our patient account representatives will be happy to assist you. If you received a statement requesting necessary insurance billing information, please complete one of the forms below.
Please call the customer service phone number located on your statement/bill and one of our patient account representatives will be happy to assist you. If you received a statement requesting necessary insurance billing information, please complete one of the forms below.
Please call the customer service phone number located on your statement/bill and one of our patient account representatives will be happy to assist you. If you do not have a statement/bill or are having trouble locating the toll-free customer service number, you can dial the main number for the hospital where you were seen and they will be able to assist you.
On most statements, there is a web address, which will take you to a payment portal. If you are unable to locate the web address, please call the customer service phone number on your statement for assistance.
Please call the customer service phone number located on your statement/bill and one of our patient account representatives will be happy to assist you and can explain the payments options available.
Please call the customer service phone number located on your statement/bill and let them know you are interested in learning more about the hospital's charity/financial assistance program.
Please call 833-860-3246 and we will be happy to assist you.
To request a copy of your medical records, please call the hospital or practice where you received treatment. If you are not the patient, you must have a Release of Information form completed and signed by the patient. The hospital or practice can provide the Release of Information form as well.
Please contact the hospital where the patient was treated and ask to speak with their medical records department.
Please complete one of the forms below if you received a letter requesting more insurance billing information.
Motor Vehicle Accident Patient Form
Click here to access an online form where patients can provide additional information regarding a motor vehicle accident claim.
Workers’ Compensation Patient Form
Click here to access an online form where patients can provide additional information regarding a workers’ compensation claim
Please complete the form below and we will be in touch with you soon.