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Ask a Clinics Billing Question

 

Clinics Billing Questions
  1. We're happy to take your clinic billing questions through the web site. Submit the information below and a billing specialist will respond by phone within three business days, between the hours of 8 am and 4 pm.

    If you'd prefer to contact us by phone, call the HealthEast Clinics billing line at 651-232-1120 or 866-770-6412 (toll-free).

    *Required fields

  2. Requestor information

  3. First name(*)
    Enter the requestor's first name.
  4. Last name(*)
    Enter the requestor's last name.
  5. E-mail address(*)
    Please enter a valid e-mail address

  7. Patient information

  8. (*)


    Select if the patient is the same or different as the requestor.
  9. First name
    Invalid Input
  10. Last name
    Invalid Input
  11. Patient date of birth(*)
    Enter a valid date of birth.
    mm/dd/yyyy
  12. Relationship to patient(*)



    Enter your relationship to patient.
  13. Specify your relationship to the patient.
  14. Statement date(*)
    Enter your statement date.
    mm/dd/yyyy
  15. Account number(*)
    Invalid Input
  16. Select a clinic(*)
    Select a clinic.
  17. Provider name(*)
    Enter your provider's name.
  18. Health Insurance
    Invalid Input

  19. Contact information

  20. Please let us know the best phone number and time at which to reach you.
  21. Preferred(*)
    Enter a valid phone number.

    xxx-xxx-xxxx
  22. Alternate
    Enter an alternate phone number.
    xxx-xxx-xxxx
  23. Preferred time(*)
    Select your preferred appointment time.

  25. Billing question

  26. Enter your question(*)
    Enter a reason for your inquiry.
  27.   
 
 
 
 
 
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