University Hospital

Page 1

Go to page 2

bill 1 2 3 4

Next Page

On every statement, we give you a way to ask a specific question to a billing representative. You can call or e-mail us at any time.

STATEMENT DATE: You'll receive a statement one a month. It combines provider and facilty charges. Your monthly billing cycle starts shortly after your visit.
ACCOUNT NUMBER: This number is unique to each patient.
STATEMENT ID: Use this number if you're ever on the phone with a billing representative to help him or her quickly identify the correct statement.
RESPONSIBLE PARTY: This person is financially responsible for paying the account balance, and may be a different person than the patient. You may also hear this person referred to as a "guarantor".

Look to see that your previous month's payment was received. Note that your full account balance and due date will always appear right on the front of your bill. If you're unable to pay your balance in full, we provide a minimum amount that will keep your account in good standing. We can extend your payments over 12 months, but require a minimum $75 payment.

Be sure to write in how much you are paying when you submit the bottom portion of the statement with your payment. If for some reason you cannot make your minimum payment by the due date, be sure to let us know to avoid defaulting on your balance owed. Financial assistance options are available. Visit us online, or call, to learn more.