MyChart - Pay as Guest

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The guarantor is the person responsible for paying the bill. You can find the guarantor name and account number on your statement.

An encounter is how your charges are grouped together to bill insurance, and usually represents your billing activity for a single visit. You may have multiple encounters, each with their own balance.
You can search for an account using either a guarantor account number, or an encounter number. You can find instructions how to locate account information here.
Duke Health now offers the ability to pay with a bank account. You can find instructions how to locate banking information here.