your convenience you may now pay your bill online. Click
the logo to the left to be taken to our secure
credit/debit card page.
Pay your bill online
If you have health insurance coverage and receive a bill from
us that does not indicate that an insurance claim has been filed, it
is probably because we are not aware that you have insurance or do
not have information necessary to file a claim. Please
CLICK HERE to download our
Private Insurance Form.
Insurance Claims: We are happy to file your insurance claim for
you. Click here to download
our Private Insurance Form. Once you've completed the required
information you may submit it using one of the following methods:
Drop it off at our Business Office. We are located in the North
Manchester Public Safety Building at 709 West
Main Street in North Manchester, Indiana
Mail it to:
P.O. Box 323
North Manchester, IN 46962
Fax it to us at 260-982-4710.
Or you may call our Business Office, Monday - Friday from 8 am to
5 pm, at 260-982-7201 or 800-686-2482, and we will be happy to take
the information over the phone.
Medicare: If you are a Medicare Part B beneficiary we will
file a claim on your behalf. You do not have to pay anything upfront
for covered services. If Medicare determines that the service
provided is covered they will pay 80% of the allowed amount to us,
minus any unpaid deductible. You or your secondary insurance company
are responsible for the 20% co-pay amount.
Medicaid: If you are a Medicaid recipient we will file a
claim on your behalf. Emergency ambulance services are covered by
all forms of Medicaid in Indiana. Non-emergency ambulance services
are usually covered by traditional Medicaid but not by most managed
care Medicaid plans.