Southcoast Health System & Southcoast Hospitals Group

Patient Accounts Inquiry

Southcoast's Patient Accounts team is here to answer your questions about your patient bill, insurance claims and payment arrangements.

You can contact us at your convenience using the form on this page. We will review your request during our next business day and respond to you that same day.

Any information you provide will be secure within our website and will only be used for hospital-related business.

Please provide as much information as possible. This will allow us to research your inquiry more fully before we respond.

Items marked with an asterisk are required.

About Your Inquiry

What is the Nature of Your Inquiry?
Please provide additional information:
Patient Information
Last Name:*
First Name: *
Middle Initial:
Street Address: *
Street Address 2:
City: *
State: *
Zip Code: *
Country: (If not USA)
Account Number (On Statement):
Date of Service:
Month:
Day:
Year:
Date of Birth:
Month:
Day:
Year:
Person Making the Inquiry
Relationship to Patient: *
Last Name: *
First Name: *
How Would You Like Us To Respond *	E-Mail Phone US Mail
Home Phone:	( ) -
Daytime Phone:	( ) - X
E-Mail: *

Office Hours

Phone: 508-679-7125 or 800-289-9342