Making Sense of Your Hospital Bill
Your hospital bill will include only the amounts you owe for the services you received. If you have insurance, it will show the amount due after your insurance company has paid. If you do not have insurance or are not covered by insurance, we will provide a self-pay discount. The amount shown is the amount you owe after this discount. The balance indicated is due when you receive the bill.
We hope that Exempla's patient bills are simple, clear and easy-to-understand. Amounts you owe are listed on the left-hand side of the bill. Who to contact for questions is listed on the right-hand side of the bill. At the bottom is a convenient tear-off section that you can use to submit payment by credit card, check, money order or cashier's check.
Request Your Bill
For a copy of your hospital bill, or to get answers to questions you may have about your bill, please call the Revenue Service Center at 1-866-665-2636. A Customer Service Representative will be happy to help you. If you prefer e-mail, you can request your bill by sending a message to email@example.com, although we do not send bills via email, we will be happy to mail a copy to you after we receive your request.
If you have comments to share about our billing process, we'd like to hear from you. Please send an e-mail to firstname.lastname@example.org or call us at 1-866-665-2636.