FirstHealth of the Carolinas - Contact Patient Accounts

Notice: This submission form is no longer in use. Please use FirstHealth MyChart to communication with Patient Accounts electronically.

To reach a Patient Account Representative during business hours Monday through Friday 8:30 a.m. to 5 p.m., please call (910) 715-1010 or toll-free (800) 798-6946. If you should get our voice mail service when you call, please leave your name and telephone number. We will return your call within two business hours.

The mailing address for payments is:

Patient Accounts
P.O Box 3000
Pinehurst, NC 28374

Online Account Inquiry
You may contact us 24-hours a day by completing and submitting the secure electronic form below. You will receive a response by the end of the same business day.

For an itemized bill, account balance or questions on a patient account, please complete the information below:

*Patient First Name:

*Patient Last Name:

*Patient Soc. Sec. Num.:

xxx-xx-xxxx

*Patient Date of Birth:

mm/dd/yyyy

*Patient Account Number:

10 digit number starting with a letter

Date of Service:

mm/dd/yyyy

Are you a...

Patient	Physician's Office
Attorney	Insurance Office
Other

If you are NOT the patient, please complete this section:

Your Name:

Office/Company/Relationship to the Patient:

Telephone:

xxx-xxx-xxxx

Fax:

xxx-xxx-xxxx

Address:

City:

State: Zip:

Information Requested:

Question Only

Request Demographic Information

Itemized Bill

Account Balance

Question/Comment:
(max 255 characters)

*Email Address of Contact Person:

* We must have this information to process your request.