Patient Statement Question

Please only use this section if you have received a statement in the mail or a message stating you have an outstanding balance.

Favored Medical Billing is a billing company that handles multiple provider accounts. To ensure accuracy in the handling of your account, please use the form below to communicate regarding your account balance.

    *Required Fields

    - or -

    I Agree that the balance is my responsibility.

    I DO NOT agree the balance is my responsibility.

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