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Patient Center - UnityPoint Health - Meriter Bill Pay Service

UnityPoint Health - Meriter Bill Pay Service allows you to securely submit payment for your hospital bill in the most efficient manner possible - online with your credit card. You can use your MasterCard, VISA or Discover card.

When you have completed both pages of the form, click SUBMIT and print a copy of the confirmation page for your records. Your payment will be processed immediately.

If you have any questions, contact Meriter's Business Office at (608) 417-3800, 1-866-286-6727 or msn_billingsvcs@unitypoint.org. Our office is open Monday-Friday, 8 a.m. - 5 p.m.

(* indicates required field)

Patient/Family Information

Patient's First Name:  *

Patient's Last Name:  *

Date of Birth (mm/dd/yyyy):  *

Daytime Phone Number:  *

Account Information

Guarantor Number on Bill:  *

Amount to Pay (This appears at the top and bottom of your billing statement):    *

If you would like to make payments on multiple Meriter Hospital guarantor accounts with a single credit card transaction, please enter the guarantor numbers and the corresponding payment amounts below:

Guarantor Number on Bill:         Amount to Pay:

Guarantor Number on Bill:         Amount to Pay:

Guarantor Number on Bill:         Amount to Pay:

Guarantor Number on Bill:         Amount to Pay: