• Use of a personal checking account
• If you do not have a portal account
• Instructions: English
• Instructions: Spanish

• All requests for financial assistance require an application
• Read the application prior to calling Patient Accounts
• Financial Application: English
• Financial Application: Spanish
• Please call Patient Accounts (620) 343-6800, ext. 25114

• Call the Patient Accounts department at (620) 343-6800, ext. 21153
• Complete the Electronic Payment Plan form
• ACH Payment Form
• Return the Electronic Payment Plan form to your Patient Accounts Representative or FAX to (620)-341-7821

• We will bill to any commercial insurance provider. There are various factors that may affect the final charges for your care.
• Please check with your insurance provider to make sure we are in network.
• Click to see a list of major in-network insurance companies, including VA, Medicare, Medicare Advantage and Medicaid programs.
• If you have any questions, please call our billing department, (620) 343-6800, ext. 21153

NOTICE TO PATIENTS:
Newman Regional Health serves all patients regardless of ability to pay. Discounts for essential services are offered based on family size and income. For more information, please contact the Patient Accounts Department at (620) 343-6800, ext. 25114

Determines which payer pays first when a patient is covered by more than one health plan.

• English version
• Spanish Version