1. This is the amount that is due on your account upon receipt of this statement.
It reflects the patient responsibility after your medical visit has been processed through insurance.
2. This is an example of a line item which was billed to your insurance.
There is a code associated with the item followed by a description and a charged amount to your insurance company.
3. This is an insurance adjustment.
We are in network with a variety of insurance companies that pay various amounts for the same services. In addition, the insurance fee schedules are constantly changing. As a result, we bill a higher percentage rate to your insurance company to encompass all insurance company rates and changes to the fee schedules. The adjustment that you see is your insurance company adjusting our original billed rate to their negotiated fee schedule. This is not considered a payment made by your insurance company.
4. This is an insurance payment.
As you can see in this example the payment was in the amount of $0.00. In most cases, if your statement reflects a $0.00 insurance payment there is a deductible associated with your insurance plan. The deductible is the amount of expenses that must be paid out of pocket before an insurer will pay any expenses. For example, if you have a $5000 deductible per year, you must spend $5000 in claims before your insurance starts paying on any remaining claims beyond $5000. The deductible may not apply to all services; please refer to your individual carrier for more information.
5. If you have any questions regarding your bill please reference your account number found here at the top of your statement.
Please review our Billing FAQ section prior to calling our billing department.
