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We look forward to answering any questions you may have about your medical bill.
Please complete the form below with as much information as you have available in 
order for our team of experts to best assist you.  This is a secure site and fully HIPAA
compliant.

Our team will respond within 4 business hours - Monday through Friday.

 
Your Name:
E-mail Address:
Physician Name:
Account #
Phone Number:
Best Time to Call
Date of Service 
Your Question?
Upload Documentation  If you have information you would like us to review with this inquiry (such as an insurance explanation of benefits)- please attach here:
 

If you need to call us, our phone # is : (855) 736-4436.  Please leave detailed message .  Calls will be returned within 4 business hours, Monday through Friday.