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WellConnect - Columbus Regional Health

Online Bill Pay

Use the form below to quickly, conveniently, and securely make your online bill payment to Columbus Regional Hospital in Columbus, Indiana.  

Important Notice


If you are trying to pay a bill from a Columbus Regional Health location other than Columbus Regional Hospital please do not submit the form below and instead go to the website address printed on your bill from that location to pay your bill online.

Online bill payment may take up to 24 hours to process. Payments are processed between the hours of 8am to 5pm, Monday - Friday. If your payment is made after 5pm, on a weekend or holiday, it will not be processed until the following business day. Only one account number can be paid per transaction. Payments for more than one account must be separate transactions.
 

PATIENT INFORMATION

Please enter at least 1 of the following 2 fields (Statement, Account)
Statement Number:
Account Number:
*Patient First Name:
*Patient Last Name:
*Phone Number:
Format: 000-000-0000 ext0000
*Date of Birth:
Format: mm/dd/yyyy
 

PAYMENT INFORMATION

*Name on Credit Card:
*Address 1:
Address 2:
*City:
*State:
*Zip:
*E-Mail:
 

CARD INFORMATION

*Card Type:
*Card Number:
*Expiration Date:
*Security Code:   3 digit security code   What is this?
*Payment Amt:  $
By clicking on Continue you will begin the payment process. You will be asked to verify that the information entered is correct, and then complete your payment submission.

*Required Fields

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