Billing, Insurance and Patient Financial Services
Consistent with our mission to preserve and enhance a person’s health and function, Gaylord Specialty Healthcare Patient Financial Services is dedicated to providing convenient billing services, customer service and financial assistance. We understand the healthcare billing process can be complicated and are here to assist when needed.
Credit card payments are accepted online, at registration locations, or over the phone. To make a payment online you will need a copy of the account number, which starts with an "E" listed on your statement.
PAY YOUR BILL
Phone: (203) 284-2827
Mailing Address:
Gaylord Hospital
Patient Financial Services
P.O. Box 400
Wallingford, CT 06492
Email Inquiries: Billinginquiries@gaylord.org
Due to HIPPA regulations, we are unable to discuss any patient-specific information via email. For patient-specific inquiries please contact the Patient Financial Services offic via phone. See the form and information below for requests for itemized bills or attorney requests.
Hours: Monday – Friday 8:00 a.m. – 4:00 p.m.
To request a copy of your medical record or an itemized bill, please print out and complete the form below.
Authorization Form to Obtain/Disclose Health Information
Mail the completed form to:
Gaylord Specialty Healthcare
Release of Information
P.O. Box 400
Wallingford, CT 06492
Or fax the form to: (203) 284-2952
We will process your request as quickly as possible but it may take up to 30 days to receive. Please let us know if it is needed for the continuation of your medical care, so we may assit with expediting.
If you have any questions about how to obtain a copy of your medical record, please call (203) 284-2885 or email us at medicalrecords@gaylord.org.
Due to HIPPA regulations, we are unable to discuss any patient-specific information via email. Please note that there may be a fee for copying and providing your record. You will be billed accordingly.
Billing Services
Gaylord Specialty Healthcare will bill your insurance company for services rendered. At times additional information may be needed by patient financial services or your insurance company to meet processing requirements or to expedite payment. If additional information is needed or there is a balance due after payment a statement will be mailed to the address provided. Payment is due in full unless a payment plan is authorized. To discuss payment options please contact the Patient Financial Services department at (203) 284-2827.
Ethical Billing Practices
Billing & Collections Policy English
Política de Facturación y Cobro Spanish