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Billing & Financial Assistance Guide Columbus Regional Health 2400 E. 17th Street, Columbus, IN 47201P&M120_Billing & Financial Assistance Guide_02 15 23_English. Indy 18008414938www.crh.org2/17/2023

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How to fill out billing amp financial assistance

01

Gather all necessary information such as personal details, insurance information, income details, and medical expenses.

02

Contact the billing department of the healthcare provider to inquire about financial assistance programs.

03

Submit an application for financial assistance along with all required documentation.

04

Await a decision from the healthcare provider regarding approval or denial of the financial assistance application.

05

If approved, follow the instructions provided by the healthcare provider for receiving discounted or free services.

Who needs billing amp financial assistance?

01

Individuals with limited income or financial resources

02

Patients without health insurance coverage

03

Individuals facing high medical expenses

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What is billing amp financial assistance?

Billing and financial assistance is a process where individuals or organizations receive help with their bills and financial obligations.

Who is required to file billing amp financial assistance?

Individuals or organizations who are facing financial difficulties may be required to file for billing and financial assistance.

How to fill out billing amp financial assistance?

To fill out billing and financial assistance, individuals or organizations need to provide their financial information and any supporting documentation requested by the assistance program.

What is the purpose of billing amp financial assistance?

The purpose of billing and financial assistance is to provide support to individuals or organizations who are struggling to meet their financial obligations.

What information must be reported on billing amp financial assistance?

Information such as income, expenses, assets, debts, and any other relevant financial information must be reported on billing and financial assistance.

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