EBO-G - 56919087
Contact and Payment Options
Call (855) 283-9093
Monday - Friday 8:00am - 9:00pm EST
06/30/2025
Visit brmc.mdpmt.com
Dear Raegan Higdon, To pay your bill online
We want to take this opportunity to thank you for choosing us Electronic Communications
as your provider for medical services. Please feel assured If you provided a mobile number or email,
that we value you as our patient. future communications may be electronic.
Our records indicate the outstanding balance listed in the
Account Summary is the total amount currently due for your
medical services. If you have insurance that has not been
filed, or you have a second or third insurance, please furnish
us with that information, including a copy of the card, and we
will file on your behalf. Please mail insurance information, or
any items you feel will help us resolve your balance to the
0% INTEREST PAYMENT PLAN
address listed below: CONTACT US TODAY!
755 West NASA Blvd. Scan To
Melbourne, FL 32901 Pay Online
However, if there is no additional insurance applicable, EID: QK53YZW78V
payment for the balance in full may be made by check,
money order, or credit card by utilizing one of our many
convenient payment options that are listed above. If sending
Account Number
2342582
payment by mail, please write your account number on your
payment to ensure proper credit to your account and make
any checks payable to the facility.
Account Summary
Future correspondence may be sent through electronic
methods such as text or email. Date Range
04/23/2025
If payment has been made since the date of this letter, thank
you. Services & Payments & Outstanding
Charges Adjustments Balance
If you have questions or are unable to pay your balance in $8,110.31 $8,088.17 $22.14
full, please call a Business Office Representative at (855)
283-9093. See Reverse Side For Detail Of Charges
EBO-G - 56919087
STATEMENT DATE AMOUNT DUE ACCOUNT
06/30/2025 $22.14 2342582
DUE DATE AMOUNT PAID
BLUE RIDGE MEDICAL CENTER UPON RECEIPT $
755 WEST NASA BLVD. Check if address/insurance changes indicated on back
ATTN: BUSINESS OFFICE
MELBOURNE, FL 32901
RAEGAN HIGDON BLUE RIDGE MEDICAL CENTER
124 SCHOOL HOUSE ROAD P.O. BOX 198161
COPPERHILL, TN 37317-0000 ATLANTA, GA 30384
Account Total Payments & Current
Date Number Charges Adjustments Balance
04/23/2025 2342582 $8,110.31 $8,088.17 $22.14
Other Charges
This bill represents only those charges for medical services billed through the facility. You may receive additional
statements for other services rendered to the patient. These additional statements may include hospital or other facility
charges. If you have any questions regarding these other statements, please contact their offices directly.
Payment Plans
Payment plans may be available to you upon request by calling (855) 283-9093.
Insurance Updates
Insurance Type: Primary Secondary Tertiary Change of Address
Insured Name Name (Last, First, Middle Initial)
Insurance Name Effective Date Address
Insurance Street Address City State Zip
City State Zip Telephone Telephone
Employer Name Group Number
Subscriber ID# Policyholder's Date of Birth
EBO-G - 56919087
