HOSPITAL BILL (Your room charge, medications, tests, supplies, etc.) If you have questions regarding your bill, write: Barstow Community Hospital Business Office 555 S. Seventh Ave. Barstow, CA 92311 or call: Medicare: (760) 957-3248 MediCal: (760) 957-3120 HMO/PPO: (760) 957-3121 Others: (760) 957-3119 Fax: (760) 957-3359

HOSPITALIST Please direct questions regarding this bill to: Apogee Physicians 2525 E. Camelback Rd, Suite 1100 Phoenix, AZ 85016 (866) 869-2395

RADIOLOGIST INTERPRETATION BILL Please direct questions regarding this billing to the “reading” or interpretation of X-ray to: Online Radiology Medical Group PO Box 51481 Ontario, CA 91761-0081 888-436-7534 - Customer Service Original radiology films are the property of this hospital. Duplicates on CD may be obtained by physicians seven days a week between the hours of 8:00 a.m. - 600 p.m. with 48-hours prior notice. CD copies of radiology films are available with a 48-hour notice at a nominal fee for non-physician request. Please call 957-3326.

INSURANCE INFORMATION If you provide insurance information and completed forms at the time of your admission or visit, it will be available to the physician’s billing departments upon request. If you were unable to provide this information at the time of your visit, please complete and return the form when you receive your bill.

PATHOLOGY Please direct questions regarding this billing to: Rand Medical Billing 1633 Erringer Rd., Floor 1 Simi Valley, CA 93065-3557 (805) 578-8300

ANESTHESIOLOGIST Any anesthesia administered during your surgical procedure or the delivery of your baby will include separate billing for services. Please direct questions regarding this bill to: Complete Solutions Medical Billing P.O. Box 2019 Yucca Valley, CA 92284 (760) 366-6436 Fax: (760) 228-2151

MEDICAL RECORD INFORMATION If you require a copy of your medical records, call (760) 957-3228. By obtaining the answers to a few questions in advance, our Medical Records Department will be able to have your records ready for you when you come to the hospital to pick them up. You will need to complete an Authorization for Release of Medical Records. This consent form must be signed and dated by the patient or legal representative. You will be charged 25¢ per page and a $15 retrieval fee if records are needed for personal, insurance or attorney use. Original radiology films are the property of this hospital. Duplicates on CD may be obtained by physicians seven days a week between the hours of 8:00 a.m. and 6:00 p.m. with 48-hours prior notice. CD copies of radiology films are available with a 48-hour notice at a nominal fee for non-physician request. Please call (760) 957-3326.