PAY YOUR PHYSICIAN BILL ONLINE: Online bill pay is now available at https://billpay.uchealth.org

PAY YOUR PHYSICIAN BILL BY PHONE: Monday-Saturday, 8:00 a.m. to 5:00 p.m. (MST). Call us at 1.877.711.7480.

PAY YOUR PHYSICIAN BILL BY MAIL: Please mail your personal check or money order with the bottom portion of your statement.

OTHER PAYMENT OPTIONS: To learn about other payment options call us at 1.877.711.7480.

 WHAT YOU NEED TO KNOW: Per Colorado State Senate bill 12-134, uninsured patients who meet eligibility requirements may qualify for Call This Number if You Charity Care assistance. CICP (Colorado Indigent Care Program) recipients do not qualify for this program. If Have Questions Regarding you are uninsured and need assistance with your medical bill, please call our Customer Service Department Your Bill at 1.877.711.7480. Por el Senado del estado de Colorado 12-134, pacientes no asegurados que cumplan con los requisitos de elegibilidad están calificados para ser evaluados para asistencia de cuidado de caridad. Los destinatarios CICP (Colorado Indigentes Cuidado Programa) no califican para este programa. Si usted es un paciente sin seguro y necesita ayuda con su cuenta médica, por favor llame a nuestro departamento de servicio al cliente al 1.877.711.7480. Si desea hablar con un representante en español, ofrecemos servicio de atención al Why Did You Get cliente quien habla español al 1.877.711.7480, opción 1. Two Bills?  WHY DID I GET TWO BILLS? This is your physician bill. It includes charges for the services your physician provided. The hospital may bill you separately for the use of its equipment, supplies, and/or technical personnel. Please contact the number on that statement for questions about your hospital bills.  PAST DUE/COLLECTIONS: Payment is due within twenty days of your statement date. UCHealth sends three statements, including a final notice. Failure to pay your bills or contact our office may result in a referral to an outside collection agency.  NEED TO UPDATE YOUR ADDRESS OR INSURANCE INFORMATION? Visits Please go online to https://billpay.uchealth.org and sign in to My Health Connection or fill What out theAre form below Under Review? with your updated information. Allow 7-10 business days for the updates to be reflected in our system.  VISITS UNDER REVIEW: Visits that are under review will continue to appear on your statement, but these are not included in the total balance due. After the review is complete, if there is an outstanding guarantor liability, the balance will be added back into the total balance due. TO UPDATE YOUR ADDRESS OR INSURANCE INFORMATION, COMPLETE AND RETURN THE FORM BELOW. Patient Name

Phone #

Address

PRIMARY INSURANCE COVERAGE Insurance Company

City

State

Patient’s Relationship to Insured  SELF  SPOUSE  CHILD  OTHER

SECONDARY INSURANCE COVERAGE

Phone # ( )

Address

Insurance Company

Zip Code Patient’s Relationship to Insured  SELF  SPOUSE  CHILD  OTHER Phone # ( )

Address

Policy Holder’s Name

Birth Date

Policy Holder’s Name

Birth Date

Policy and Group #

/ / Policy Effective Date / /

Policy and Group #

/ / Policy Effective Date / /

Employer’s Name Address

Phone # ( )

Employer’s Name Address

Phone # ( )