Charles Cole Memorial Hospital
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Patient Financial Services

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  • Main & hospital bills: 814-274-5500 
  • Physician office bills: 814-274-5502 
  • Fax: 814-274-0243
Hours: 7:30 a.m.-4:30 p.m., Monday-Friday

Payments may be made in-person at the Hospital’s switchboard 7:00 a.m.-8:30 p.m.

Patient Financial Services submits claims to the patient's insurance and follows up until the claim is resolved. We also serve as a resource for patients/guarantors/insurance companies etc. Individuals can call or come in to discuss billing issues, insurance payment issues/information, our charity policy for hospital services or our sliding fee program for physician services.

All applications for sliding fee and/or charity care should be sent to the following address:
Charles Cole Memorial Hospital
Customer Service
Patient Financial Services
1001 East 2nd Street
Coudersport, PA 16915


Physician Office Sliding Fee Information

Sliding Fee Allowance Limits (Physician Offices)

Sliding Fee Application Form (Physician Offices)

Hospital Services Charity Care Information

When applying for the Charity program for Hospital based services the following requirements are needed to process your application:  denial letter from Pennsylvania Medical Assistance, proof of your/family income for the past six months; pay stubs, bank statements, unemployment and social security statements or records etc., along with the completed Charity application.

Charity Care Policy (Hospital)
Charity Care Allowance Limits (Hospital)
Charity Care-Request Form (Hospital)

Accepted Health Insurance Plans

PA Health Insurance Companies: www.PaHealthOptions.com

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