Billing Inquires

Please note that this form is only for questions about a bill received from MMS.

If you have a question about your bill, you may call MMS toll free at 1.888.707.2684, fax MMS at 1.616.975.1870, or fill out in detail the secure form below and an MMS Patient Service Representative will respond* to your request within 2 - 3 business days.

*Due to the Health Insurance Portability and Accountability Act of 1996 (HIPAA), it is a violation for us to send patient information through unsecured email. Therefore, our response to you will be via phone or mail.

Please note that this form is only for questions about a bill received from MMS. If you would like to make a payment on a patient account, access our 'Bill Pay' website.

Patient Information:

Title

Patient Name

Address Line 1

Address Line 2

City

State

Zip

Email Address

Phone

What can MMS assist you with?

Billing Information:

In order to further assist you about a billing matter, MMS will need the following information, as well:

Account Number(s) As it appears on paper statement. If you have multiple account numbers, please separate them with a comma.

Emergency Facility As it appears on paper statement.

Security Check - To verify you are not a robot, please answer this question:

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Online Bill Pay

If you would like to make a payment on a patient account, access our 'Bill Pay' website.