Guide to Reading & Understanding Your Bill
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Date statement sent
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Your personal Account Number(s)
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Respective Balance(s) for each account
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Credit Cards we accept
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Name and address of person responsible for bill
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Where to mail your payment
- Customer Service Number for billing or
payment assistance questions
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Summary of Accounts:
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Total Charges - Total amount of Charges for service(s)
rendered
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Total Ins Payments - Total amount paid by insurance company
on your behalf
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Total Ins Adjustment - Total negotiated discount amount
between hospital and insurance company
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Total Patient Payments - Total amount of payments made by you
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Total Patient Discounts - Total discount offered to patient
from hospital
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Total Due - Total amount owed
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