Indiana University Health     Thursday July 30, 2015 12:09 pm EDT
  1.     Authenticate NOTE:   Use your most recent statement to authenticate.
 
Patient Name:
As it appears on the bill.
   
Account Number:
As it appears on the bill.
  
Patient DOB (MM/DD/YYYY)
and Amount Currently Owed:

     $ 
e-mail Address:
  Where correspondence should be sent.
  
e-mail Address:
Re-type the e-mail address.
  
 
   
 
Step 1 of 4

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