PayYourMedBill

Update Your Insurance

If you have health insurance but we did not receive it, you can enter your health insurance information below and your account will be updated and your insurance company will be billed automatically.

New Insurance Info

Account Number From Your Bill*

This is a required field

Patient Name

This is a required field

Patient Member ID Number

This is a required field

Patient Phone Number

This is a required field

Patient Email Address

This is a required field

Policy Holder's Name

This is a required field

Group Number

This is a required field

Electronic Claims Payer ID (EDI Number)

This is a required field

Insurance Company

This is a required field

Insurance Company Address (Claims Submission Address)

This is a required field

Insurance Company Address2 (Claims Submission Address2)

Insurance Company City

This is a required field

Insurance Company State

This is a required field

Insurance Company Zip

This is a required field

Insurance Company Phone

This is a required field

Insurance Type

Primary Insurance

Secondary Insurance

Any Additional Info

* Where do I find my Account Number?