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Patient Financial Services
Pay your bill online
Click here, then enter Charles Cole or CCMH
- Main & hospital bills: 814-274-9333
- Toll Free: 800-521-7747
- Physician office bills: 814-274-5502
- Specialty physician bills: 814-274-5503
- Fax: 814-274-0243
Hours: 8 a.m.-5 p.m., Monday-Friday
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)
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