Thank you for visiting mypatientaccount.com. This site has been designed to help you get fast answers about your patient accounts with us. Once you enter your Account Reference # above,you will be able to:

• View the status of your accounts
• Check for insurance payments on your accounts
• View and update basic information about yourself
• Pay or make payment arrangements for your outstanding balances

If you have any problems or questions, please feel free to Contact Us.

February 4, 2011

SIMON HUNT
17 E KIRKHAL APT 17
WEBSTER GROVES, MO 63119

Dear SIMON HUNT,

Thank you for choosing Generic Hospital as your for your healthcare needs. You have recently re ceived a bill for our services.
Our records indicate that the balance on this account is your responsibility to pay.

Please remit payment in full in the enclosed envelope with the tear-off section on the top of this l etter included. For your convenience,
you can pay your bill and review your account online at:http://www.mypatientaccount.com You will be prompted for your Personal
Reference Number, which is 99022241

If you cannot make payment in full, please call us toll free at (866) 860-7578 or email us at info@m ypatientaccount.com to discuss
payment options.

Generic Hospital offers a Financial Assistance Program, which may help with all or part of this bill. If financial assistance is
needed, please call us toll free at (866) 860-7578. Hours of opera tion are (M-F) 7:00 a.m. – 7:00 p.m. Central Standard Time.

Thank you for your prompt attention to this matter.