Billing

Pay a Bill

Billing Information

Before making a payment please make sure to have the Patient IEN (Internal Entry Number) found on the invoice directly above the patients name.

For questions and concerns related to third party billing and treasury.

Phone
  • 800-642-6700
  • 719-526-7700
Fax
  • 719-526-7696
Email
Business Hours
  • Office Hours: Monday - Friday from 7:00 a.m. - 3:30 p.m.
  • Payments Accepted: Monday - Friday from 7:30 a.m. - 3:00 p.m.
  • Closed: All Federal Holidays

Pay Online

Pay.gov is a secure service provided by United States Department of the Treasury. The information you will enter will remain private. Paying online with Pay.gov is safe, secure, and the preferred method to pay medical bills with Evans Army Community Hospital.

To pay a bill online, follow these steps:

  • Visit the Pay.gov website
  • Select the "Continue to the Form" button
  • Complete the Agency Form
  • Enter Payment information
  • Review & Submit
  • Get Confirmation the payment has been Submitted
Accepted Payment Methods
  • Debit Card
  • Credit Card
  • Bank Account (ACH)
  • DWOLLA (For a limited time; all agencies will discontinue)
  • PayPal
  • Amazon Pay (New! Coming soon)

Pay In Person

To pay a bill in person, stop by our Treasurer's office located at:

  • Evans Army Community Hospital
  • 1650 Cochrane Cir
  • BLDG 7500, First Floor, Room 1036
  • Fort Carson, Colorado 80913
Directions

The Treasurers Office is located on the first floor of the Main Hospital. Patients should park in the “A” parking lot just west of the main entrance. Proceed down the main hallway and turn left before the third stairwell. The Treasurers Office is the third/last door on the left had side, across from the Admissions & Dispositions Office. Look for the sign that says "Treasurers Office".

Business Hours
  • Office Hours: Monday - Friday from 7:00 a.m. - 3:30 p.m.
  • Payments Accepted: Monday - Friday from 7:30 a.m. - 3:00 p.m.
  • Closed: All Federal Holidays
Accepted Payment Methods
  • Debit Card
  • Credit Card
  • Cash
  • Check
  • Money Order

Pay by Phone

To pay a bill by phone, call a number listed below:

  • 719-524-4296
  • 719-526-7881
Accepted Payment Methods
  • Debit Card
  • Credit Card
  • Check

Pay by Mail

To pay a bill by mail, send a payment to the following address:

  • Evans Army Community Hospital
  • ATTN: UBO, Treasury Office
  • 1650 Cochrane Cir, BLDG. 7500
  • Fort Carson, Colorado 80913
Accepted Payment Methods
  • Check
  • Money Order
Please make checks and money orders payable to:

EACH TREASURY

We always reccommend putting the Patient IEN (Internal Entry Number), found on the invoice directly above the patients name, in the Memo comment on the check or money order for faster processing.

Insurance

All patients will be asked to at least annually update their information on what other health insurance they have (if any) utilizing DD FORM 2569.

Outpatient

There are no payments required for outpatient services provided to eligible beneficiaries. Active duty service members and their family members (enrolled in Tricare Prime) and retired service members incur no cost for inpatient care. For all other eligible beneficiaries, patients will be billed the current Family Member Rate (FMR) per day they are admitted. Family Member Rate (FMR) for Fiscal Year 2017 is $18.20 per day for family members. These charges are due and payable upon discharge in the Treasury Office next to Admissions & Dispositions (A&D).

Third Party Collection Program

The Third Party Collection Program gives Evans Army Community Hosptial (EACH) the ability to provide our patients with the essential equipment and health care staff, that will ultimately enhance the overall quality of care.

Our patients can help make this a reality by completing a DD FORM 2569 and returning it to us by email or in person at the next visit. Our hospital receives 100% of the funds reimbursed by civilian health insurance companies to fund additional services, upgrade the facilities and equipment, and add programs for our patients. Patients are not liable for any costs not paid by civilian insurance to include deductibles cost-shares and co-pays.

Everyone benefits from completing the DD FORM 2569! Patients should remember to update this form every year even if they do not have other health insurance.

Downloads

DD FORM 2569 - September 2016
THIRD PARTY COLLECTION PROGRAM, MEDICAL SERVICES ACCOUNT, OTHER HEALTH INSURANCE

You can help make this a reality by completing a Form DD2569 and returning it to us by email or in person at your next visit. Our hospital receives 100% of the funds reimbursed by your civilian health insurance companies to fund additional services, upgrade the facilities and equipment and add programs for our patients. You are not liable for any costs not paid by your civilian insurance to include deductibles cost-shares and co-pays.

Download
FMR (FAMILY MEMBER RATE) MEMORANDUM - November 2017
DIRECT CARE INPATIENT BILLING RATES FOR FY 2018

Department of Defense Uniform Business Office (UBO) Fiscal Year (FY) 2018 Direct Care Inpatient Billing Rates.

Download

Feedback

Your feedback is important to us. To submit a comment card, visit the Treasury, Third Party Billing Interactive Customer Evaluation (ICE) page.