Fee Questions

Use this form to contact the birth center's billing office.

Name

First Name

Last Name

Email Address

Insurance Plan Name

If you have insurance and would like our billing office to check your benefits for you, please provide your insurance company name, ID or Subscriber number, your date of birth, and if the primary subscriber is someone other than yourself, their name and date of birth.

Subject

Message

Use the "Message" field to ask your question, or request a call back from the birth center's billing office. Please write a message even if you input your insurance information in the field above.

Phone

If you would like a phone conversation, please provide your phone number and if you are only reachable certain times, provide that information in the "Message" section.

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