MultiCare Health System

213 N Orange St Unit E, PLEASE PAYMENT PAYABLE IN CASH ONLY

Glendale, CA 91203,
United States A Message From MultiCare Health System
Billing Questions ? MultiCare Health System is moving to a new billing system March
Please call us at 1-530-264-0090 4, 2024! You may receive a statement like this, or you may
Monday - Thursday 8am - 4:30pm receive the new billing statement. Statements are
Friday 9am - 5:30pm dependent upon your date of service. More information
Please check box if address below is incorrect or if your
will be available at vcuhealth.org, Billing and Insurance,
Insurance updates and indicate change(s) on the reverse side.
March 1.
ADDRESSEE Page 1 of 1 COVID 19 is affecting many families and causing financial
857 Norton Ave, Glendale, CA 91202 hardship. To help offset, we are offering extended
payment plans/terms. We also provide financial
assistance to our patients - see reverse for contact
information.

BILLING STATEMENT
ACCOUNT NUMBER PATIENT NAME HOSPITAL NAME
330127009 Brittni Nattier Rockwood Urgent Care

Date Description Charges/Payments

SERVICES 26-04-2024
.

04-29-2024 Urgent Care Visit $2,200.80

TOTAL CHARGES $2,200.80

04-29-2024 Insurance Payment -$185.26

04-29-2024 Patient Payment -$200.89

BALANCE: $1814.65

The surgery is prospone to 05-15-2024

PLEASE NOTE: If you have requested an itemized statement, the balance listed as patient responsibility may still be pending with your insurance company.
Thank you for choosing Multicare Healthcare!

PLEASE PAY THIS AMOUNT $1814.65

Paramasivam. ,
M.Sc..Biochemistry

YD5-AWU-D8A
Multicare Health:
213 N Orange St Unit E, Glendale,
Name Brittni Nattier
CA 91203, United States
MRN 5295053

TOTAL CHARGES $2,200.80

BALANCE $ 1814.65
Paramasivam. ,
M.Sc..Biochemistry