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About Our Forms

We are committed to protecting your personal information.

  • Data you provide cannot be viewed by anyone else on the Web
  • Security is maintained by industry-standard SSL (secure socket layer) encryption and decryption technology when needed
  • The SSL protocol is used to ensure that your information is sent directly to us, and that only we can decode it
  • We do not share your information with anyone else

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Legal Notices

Update/Submit Insurance Information

In this section please provide us with your insurance information to submit to your insurance company, or update information that currently exists.

Fax a copy of the front and back of your insurance card to
317.962.5580.

* Required items

 

New   Update
Patient Information
Primary Insurance
HMO
PPO
CMO
Other
Full address of where claims are to be sent for Medical/Hospital
Secondary Insurance
HMO
PPO
CMO
Other
Full address of where claims are to be sent for Medical/Hospital

Billing Inquiries

In addition to online inquiries, our Patient Financial Services team can be reached at:

8 am – 5 pm EST, Monday – Friday, excluding all major holidays

Payments

Credit card payments are accepted 24 hours a day through our automated telephone system.
Cash is accepted at our cashier windows from 8 am – 4:30 pm EST, Monday – Friday, excluding all major holidays.
You may also make a Payment online.

Mail

Correspondence regarding your bill can be mailed to:
Indiana University Health
Attention: Cash Posting Supervisor
P.O. Box 7010
Indianapolis, IN 46207-7010