How to Complete the Billing Form

How to Complete the Billing Form

1. Launch your MyHealth secure portal at https://nauportal.pointnclick.com/
2. Select “NAU Student/Employee”
3. Use your NAU username and password to authenticate
4. On the left side of the screen, select “Required Forms”
5. For the item titled “Billing Form” select “Update“

6.  Enter all required information
   • Patient Name
   • Patient Date of Birth
   • Contact Number
   • Choose ‘Yes’ or ‘No for the question “Do you have insurance that you would like CHS to Bill?”
   • Choose your payment information from the choices listed
   • Insurance Information Section:
     • If your insurance is through a parent, or another individual, please list their name and information in the section. If you are the policy holder, please use your information.
     • If you don not have insurance, please enter “none” into each field.
7. Check the box at the bottom for your e-signature and enter the date in MM/DD/YYYY format.
8. Click “Submit Final“