How to read your bill

The account summary gives you all the information you need in order to pay your bill. This includes:

• Guarantor name – This is the name of the person responsible for paying the bill. It’s almost always the name of the patient unless the patient is a child.
• Guarantor number – This number identifies your account.
• Guarantor type – This lists the type of guarantor account you have (i.e., personal or family account).
• Statement Date: The date the statement was produced.
• Insurance billed – Here you’ll see the name of your insurance provider. If you don’t have insurance, it will say “none.”
• Amount due – This is the amount that you owe. It will list your total amount due or the monthly payment you’ll make as part of your payment plan.

• Due date – This is the date that we should receive your payment. If you’re on a payment plan, the payment date you agreed upon when you set up the plan will appear here. If you’re not on a payment plan, you’ll see “upon receipt” in this box.
• Messages: This is where you will see important messages regarding your account, including the remaining balance.

Your transaction summary tells you detailed information about the service you’re paying for and any new charges. Here you’ll find:

• Date – Date the service or payment was received.
• Description – This column includes detailed information about the transaction, including: the name of the patient who received the service, the location where services were received, and a description for new charges that have never been on a statement before. If there is a balance forward from a previous statement, it will also appear here.
• Payments since last statement – Here you’ll see a list of payments received since the last statement.
• Past due balance – If you have a past due balance, you’ll see balances for charges that have appeared on a previous statement and are not on a payment plan.
• New charges – Description for new charges that have never been on a statement before.
• Patient payments/adjustments – This will show a description for any payments you’ve made, and any adjustments made to your total amount due. For example, if a financial assistance discount applies, it will appear here.
• Insurance payments/adjustments – Any payment or adjustments from insurance for the services described in the description column.
• Charges on payment plan – This part of your bill includes “Balance Forward” which are charges on a payment plan that have appeared on a statement before, and any new charges on a payment plan that have never been on a statement before.
• Number after # sign – This number identifies your visit. You’ll see it listed next to the name of the patient in the description column of the summary.
• Charges – The dollar amount of new charges, including new charges that are part of a payment plan.
• Payments/adjustments – The dollar amount of any payments and adjustments.
• Balance – The amount you owe for services after we deduct previous payments and price adjustments. If you’re on a monthly payment plan, the payment amount will also appear here.
• Balance Pending with Insurance – The dollar amount of charges, related to that visit, pending insurance processing.

This section gives you a quick summary of your bill. It includes:

• Past due/new charges not on a payment plan – This lists any existing balances or new charges that aren’t part of a payment plan.
• Insurance adjustments – If you have insurance, you’ll see the total adjustments from insurance for the services listed on this bill.
• Insurance payments – If you have insurance, you’ll see the total payments from insurance for the services described on this bill.
• Patient payments – This shows the total payments you made since your last statement.
• Patient adjustments – This is the total patient adjustments for the services described. For example, if a financial assistance discount applies, it will appear here.
• Monthly payment plan amount due – If you’re on a monthly payment plan, this line will show your monthly payment amount.
• Amount due from patient – This is the total amount that you need to pay.