Please select the hospital you visited, enter your account number and date of birth.
You can find your account number at the bottom right of your payment slip which is located at the bottom of your statement.
Sample Payment Slip
Your payment is less than the amount due.
Your payment is less than the amount due. Here is how the payment will be allocated to your account:
If you would like to pay for a specific date of service only, please call us at (888) 378-0357.
After your payment, you will owe $30.00.