0% found this document useful (0 votes)
200 views3 pages

Upmc Bill

Uploaded by

axgamal
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
200 views3 pages

Upmc Bill

Uploaded by

axgamal
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 3

APD{3151796301} Page 1

Online Bill Pay


2 HOT METAL ST | DIST. ROOM 386 | PITTSBURGH PA 15203 Make a fast, secure one-time
payment today!
UPM--300

Hospital/Physician Statement
UPMC.MySecureBill.com
For questions or to request an itemized statement,
please call (412) 864-0284 or (844) 591-5949.
Online: myupmc.upmc.com PIN Due Date Amount Due Paid
Check if address/insurance changes are on back
19144627 09/30/2024 $1,434.62 $
Addressee Page 1 of 2 Please make checks payable and remit to:
FDAFDTTDDDDATDTATAAATFFTFDADFAFTDDAATDADTATTDTADDTTTTTTDFDDADDDFF DFTFAFTDFDFDDADAFDDAAAAFFTDFDDADTADTFDADDAAAFDDATTAFFAATDAFFTDDDA
ASMAA ELALKAMY UPMC Health Services
717 DUNCAN AVE APT 1005 PO BOX 371472
PITTSBURGH PA 15237-5045 PITTSBURGH PA 15250-7472

31517963010000191446270909202400001434627

myEasyMatch Code: FBH-373-7M1 Please detach and return top portion with payment.
PIN Account Name Statement Date Due Date

19144627 Asmaa Elalkamy 09/09/2024 09/30/2024

Payments/ Patient
Date Service Description Status Charges
Adjustments Balance

If you have Medical Insurance, the amount due is reflective of balances assigned by your insurance
company that typically are for copays, deductibles, and coinsurances as outlined by your insurance
plan. These amounts should match your Explanation of Benefits (EOB).

Current Physician Charges

Patient: Asmaa Elalkamy


Account # 10390031854
Date of Service: 8/13/2024
Provider: Mahmood, Sultan, MD $346.00
Location: Northern GI UPMC - Outpatient
Total Insurance Payments/Adjustments -$99.21

Payment Due: Payment Due $246.79

Patient: Asmaa Elalkamy


Account # 10390834630
Date of Service: 8/19/2024
Provider: Akindele, Raucheline, MD $122.00
Location: Radiology - Outpatient
Total Insurance Payments/Adjustments -$39.19

Paperless Billing
Payment Plans
It’s fast, easy, and no postage necessary.
Enroll today at MyUPMC.com
You can now set-up and manage
self-service payment plans online.
MyUPMC.com AMOUNT DUE: $1,434.62
Save a stamp and pay your bill online! Just go to
https://upmc.mysecurebill.com and enter myEasyMatch Code: FBH-373-7M1

Explanation of Statement
This statement is a summary of the unpaid balance on your account which is now your responsibility. These charges reflect services given by
UPMC Health Services. For general billing questions or frequently asked questions, you can visit our website at www.MyUPMC.com.
Contact Us
This billing statement represents only services rendered with current patient liability. For questions about this bill, please call our Customer
Service Department toll-free at 844-591-5949 or 412-864-0284. Our office hours are Monday through Friday 8 a.m. to 5 p.m. If you are a
MyUPMC member, you can view your statement online, pay your bill online, and chat with or send a message to Customer Service. If you are
not already a member, you may sign up now at MyUPMC.com.
Payment Options
There are a few different ways to make a payment. You can send a check, money order, or your credit card information in the envelope given.
You can scan the QR barcode on the front of the statement by using an application on your mobile device. You can also pay online at UPMC.
MySecureBill.com or your MyUPMC account at MyUPMC.com. If you would like to talk about payment arrangements, please reach out to our
Customer Service Department.
Payment by Check
By sending a check, you are authorizing the use of the information on your check to make a one-time electronic debit from the account on which
the check is drawn, or to process the payment as a check transaction. The electronic debit, which may be posted to your account as early as the
date your check is received, will only be for the amount of your check. The original check will be destroyed and we will retain its image for our
records. If you have any questions, call the customer service number on the front of this billing statement. Do not enter specific instructions on
the check or payment coupon. Checks are processed by an automated process that will not be able to acknowledge the written instructions. If
you have specific instructions regarding your account, please contact the Customer Service department toll-free at 844-591-5949.
Availability of Financial Assistance
UPMC is committed to offering financial assistance to people who have health care needs and are uninsured, underinsured or not eligible for a
government program. If you do not have insurance or are underinsured, you may be eligible for financial assistance. This assistance applies to
emergency care and services that are medically necessary. Please note that there are certain service exclusions that are not usually eligible for
financial assistance. Depending on your individual need, either free care or reduced payment obligation may be offered. No finance charges,
interest or late payment fees will apply as your bill will not exceed the total amount charged. If you have difficulty understanding or speaking
English, language assistance services are available free of charge. Call 1-800-371-8359.

In Person Phone Online


Pittsburgh Area Patients UPMC.COM (Keyword Financial Assistance)
Patient Financial Services Center UPMC, https://www.upmc.com/patients-visitors/paying-bill/services
1-800-371-8359 or
Quantum 1 Building, 2 Hot Metal Street
Pittsburgh, PA 15203 https://www.upmc.com/patients-visitors/paying-bill/bill-pay
Susquehanna Patients UPMC.COM (Keyword Financial Assistance)
Susquehanna Financial Assistance Office at https://www.upmc.com/patients-visitors/paying-bill/services
1-800-371-8359 or
1205 Grampian Blvd Suite 1C
Williamsport, PA 17701 https://www.upmc.com/patients-visitors/paying-bill/bill-pay
UPMC Chautauqua WCA patients UPMC.COM (Keyword Financial Assistance)
UPMC Chautauqua WCA, Patient Financial https://www.upmc.com/patients-visitors/paying-bill/services
1-800-371-8359 or
Services Department at 207 Foote Ave.
Jamestown, NY, 14701 https://www.upmc.com/patients-visitors/paying-bill/bill-pay
APD{3151796301}

Page 2 of 2

2 HOT METAL ST | DIST. ROOM 386 | PITTSBURGH PA 15203

Hospital/Physician Statement
For questions or to request an itemized statement,
please call (412) 864-0284 or (844) 591-5949.
Online: myupmc.upmc.com

Payments/ Patient
Date Service Description Status Charges
Adjustments Balance
Payment Due: Payment Due $82.81

Current Hospital Charges

Patient: Asmaa Elalkamy


Account # 4100001051927
Date of Service: 8/19/2024
Provider: Mahmood, Sultan, MD $3,279.00
Location: Upmc Passavant - Outpatient
Total Insurance Payments/Adjustments -$2,173.98

Payment Due: Payment Due $1,105.02

You might also like