SUBMIT INSURANCE INFORMATION |
| Before submitting insurance information, please make certain that the balance due on your account does not represent your responsibility after your insurance company has paid. This balance could exist as a result of your co-insurance responsibility and/or the balance may have been applied to your annual deductible. There are also many instances in which your insurance company is not responsible for the balance due. |
While it is important that you do not ignore this balance, we suggest you contact your insurance carrier to determine whether they will cover this claim or if it is in fact your personal responsibility |
Please select the option that applies to your situation: |
Health Insurance/Managed Care Information - If you have health insurance through your employer or you have an individual policy. |
| No-Fault - If you were involved in an automobile accident and this bill is directly related to that injury. You must have a valid claim number. |
| Workers' Compensation - If you were injured at work and/or while on the job and have a claim number relating to that injury. |
| Medicare - If you were covered by Medicare for the date of service relating to this bill |
| Medicaid - If you were covered by Medicaid for the date of service relating to this bill. |
