Hospital Billing Inquiry - CHI Health, Omaha, Nebraska (NE)
You may inquire about your Alegent Health patient accounts bill by completing the form below.

Please be aware that the information you provide here can not be guaranteed to be confidential on the Internet. If you do not wish to transmit the information included in the following form electronically, please telephone the Patient Accounts Office at one of the following numbers:
Omaha Area: (402) 717-7878
Toll-free: (888) 296-9762
Fax: (402) 717-7960

NOTICE OF PRIVACY PRACTICES
The Alegent Health Notice of Privacy Practices may be accessed at this link.
In order to complete your request, you must acknowledge receipt of this notice in the form below.
Acknowledge Receipt: No Yes

* required info
Name on Account *
Patient Name *
Email Address
Street Address
Apartment or suite no.
City
State
Zip
Home phone *
Work phone
Account number
Facility where services were rendered *
Insurance co. name
Insurance co. address
Insurance policy no.
Insurance group no.
Copay amount
Your message or question *