Thank you for giving us the privilege of caring for you. We are committed to providing you with exceptional, compassionate care.

When you receive care at a hospital, you will often receive two bills: one from the hospital (called a “facility fee”) and one from the physicians who provided your care (called the “professional fee”). The bill from Vituity covers professional fees for the care you received. 

Paying Your Bill

We accept Visa, MasterCard, American Express, Discover, money orders, and personal checks. Pick the most convenient way for you to pay.

Contact Us

If you have any questions about a bill you have received from Vituity, please contact us.

Customer Service Department
Monday–Friday, 6 am–5:30 pm PST

Frequently Asked Questions

Do you offer payment arrangements?

To determine if you qualify for payment arrangements, please contact our customer service department at 800-498-7157.

Is there any help available if I am experiencing financial hardship?

Yes, please contact customer service at 800-498-7157.

Why do I receive separate bills from the hospital and physician?

Vituity physicians are not employed by the hospital; therefore, you will receive a separate bill.

 For example: If you came in to the emergency room and had an x-ray and lab tests, you may receive a bill from the hospital for the use of the facility and technology, a bill from the emergency physician for professional services, a bill from the radiologist for interpreting any x-rays, and a bill from the pathologist for analyzing any specimens taken.

Is there support available to help me better understand my billing statement?

Yes, you are welcome to contact our customer service department Monday–Friday between the hours of 6:00 am–5:30 pm PST at 800-498-7157.

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost

Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

  • You have the right to receive a Good Faith Estimate for the total expected cost of any scheduled non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
  • Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider for a Good Faith Estimate before you schedule an item or service.
  • If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
  • Make sure to save a copy or picture of your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, visit or call 1-800-985-3059.

Relevant Resource: Your Rights and Protections Against Surprise Medical Bills

Billing Records Request

To request a copy of a patient's billing records, please submit the following:

  • A written request in letter format.
  • A HIPAA-compliant authorization signed by the patient.
  • A check in the amount of $15.00 for clerical/copying fees.

If your company does not have its own HIPAA-compliant authorization form, you may use our authorization form. Print the authorization form, fill it out completely, and have it signed by the patient. 

There are two options for submitting billing record requests to our office.

  1. Via If you are not currently a registered user follow the prompts on the site to create an account. The completed HIPAA Authorization form, can be uploaded and attached to your electronic request via ChartSwap. Follow the prompts on the site to upload the HIPAA Authorization form, pay the records copying fee (if applicable), and submit your request.

  2. Via Mail: Mail the completed HIPAA Authorization form along with the record copying fee (if applicable) to the address noted below. Make the check for the copy fee payable to: MedAmerica Billing Services, Inc. (MBSI)

MedAmerica Billing Services, Inc., dba Vituity RCM
1601 Cummins Drive, Suite D
Modesto, CA 95358
Attn: Release of Information Dept.


To serve a subpoena for a copy of a patient’s billing records, please submit the following:

  • A check in the amount of $15.00 for clerical/copying fees.

Registered Agent Solutions, Inc. (RASi)
720 14th Street
Sacramento, CA 95814

If you have further questions, please contact the Release of Information Department at (209) 567-5755.