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Online Accident Report

When your hospital services indicate that your injury or illness were the result of an accident, Medicare and other health insurance payers may be secondary payment choices. If there are auto or automobile medical pay benefits available, auto liability or liability other than automobile, this may be the case.

Our goal is to work with your insurance provider to expedite payment for your hospital services as quickly as possible. In order to bill the appropriate party, we will need to ask you a variety of questions regarding your accident.

For your convenience, you can complete this information by clicking the green box to the right.

To contact us:
 
Should you have any questions regarding you Emergency Room visit or the filing of your insurance claim through the hospital, please contact our Business Office, toll free at: 1-866-951-0014.