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859-301-BONE  /  513-793-3933
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BILL PAY

 
To pay your bill please complete our Online Bill Pay form below or contact our Billing Department at 859.817.4444.

Please Note:
There is a $35 administrative fee for any returned refund checks due to undeliverable mail. There is also a $50 return check fee for any check not honored by your bank. Examples include: returned checks due to insufficient funds and accounts that have been closed. If you have questions about your bill or about a refund, please call the Billing Department at 859.817.4444. OrthoCincy is located in the Greater Cincinnati area, U.S.A.

Privacy Policy:
We respect your privacy. Therefore, we never share or sell your personal information with any third parties. Any information collected through this site is intended to be used for this transaction only. Your personal information is secured via SSL (Secure Socket Layer) Technology.

Fracture Care Billing:
For Fracture Care Billing, please refer to the following form for an explanation of how we are required to bill your insurance for your care:

FORMS

     FRACTURE CARE BILLING     

MEDICAL EQUIPMENT BILLING

Billing Information
Country:
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Patient First Name: *  
Patient Last Name: *  
Date of Birth:
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RadDatePicker
Open the calendar popup.
*  
Acct Number: *  
Billing Address:
Billing Address Cont:
City:
State:
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Zip Code: *  
Email:
required if wish to receive an emailed receipt
Phone: *  

Payment Information
Cardholder First Name: *  
Cardholder Last Name: *  
Payment Amount: *  
Credit Card:
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*  
Card Number: *  
Expiration Date:
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CVV: *  
3 digits on back of card or 4 digits on front for Amex
Additional Comments:
 




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