Did you receive a letter from us? Please call:
(800) 437-2831 or (970) 241-2075
Hospital and physician offices please call:
(877) 254-1349 or (970) 254-1349
8:00 am - 6:00 pm Mountain Time, Monday - Thursday
8:00 am - 4:00 pm Mountain Time, Friday
If your Financial Counselor has requested that you provide a Financial Statement, please click on the button below to download form.
After completing the form, submit it along with your proof of income via fax at (970) 683-5252 or