Contact Our Billing Team

Billing Inquiry Form

If you have any questions about your billing, or the billing of someone you provide care for, please fill out the below form. Our billing team will review your question or concern within 48 hours and respond in your preferred communication method. You can also reach our billing team by calling 724-850-6913.

Your Information

Your Name(Required)

First Last

Relationship to Patient(Required)

Is your billing inquiry for yourself or someone else?

Relationship (If Other)(Required)

If you selected “Other” for your relationship to the patient, please explain here.

Patient Name(Required)

First Last

Date of Birth(Required)

How Can We Reach You?

How would you like us to contact you? By default we have phone selected, but if you would prefer contact via email just let us know below.

Preferred Method of Contact

Your Phone(Required)

Best Time to Call You(Required)

Your Email Address(Required)

Email Address Confirm Email Address

How can we help you

Please enter your billing inquiry here so the proper team can get back to you.

Your Comments/Questions(Required)

This field is for validation purposes and should be left unchanged.

Commercial

Patient Ordering

UPMC Portals

Initial Setup & Delivery

Equipment Documentation

Medicare, Legal, and Safety

Contact Our Billing Team

Billing Inquiry Form

Your Information

How Can We Reach You?

How can we help you

Billing Inquiry Form

Your Information

How Can We Reach You?

How can we help you

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