Itemized Billing Statement Requests

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Itemized Billing Statement Request

Have questions about your billing statement? We’re happy to send you an itemized statement. Submit this form, and an itemized statement will be mailed to the person listed as the guarantor on the account.

Melissa Thompson


Melissa, who is 23, knew the Hospital provided financial assistance for treatment, but was surprised to discover she also could find help sorting out and applying for health insurance and covering additional out-of-pocket medical expenses.

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