Understanding Your Bill/Statement

 
 This sample statement explains at a glance the components of your bill
  1. Name and Address of facility where services were rendered.
  2. Person responsible for paying the bill
  3. Date of statement
  4. Name of patient
  5. Number identifying patient
  6. Date of services
  7. Total amount owed on this account
  8. Amount due at this time
  9. This area may contain important information regarding your statement.
  10. Description of services for which are billed
  11. To pay by credit card, fill in this box with proper information
  12. The address that you need to send your payment to. Please detach and remit the bottom part of the statement with your payment to ensure proper credit to your account.
For your convenience you can also pay your bill online.

 
 
 

Billing Services
Ways to pay your bill  Ways to
Pay Your Bill
credit cards Pay Bill Online Now
call me now Call Me Now!
itemized bill request Itemized Bill Request
out-of-pocket expense information Out-of-Pocket Expense Information
application for financial assistance Application for Financial Assistance 
Solicitud para asistencia fananciera SOLICITUD PARA ASISTENCIA FINANCIERA(Application for Financial Assistance - Spanish)
charity policy Charity Policy
charity policy - Spanish Charity Policy - Spanish
Billing Information
Understanding your bill Understanding
Your Bill
View your bill summary
View Your Bill Summary 
glossary of billing terms Glossary of
Billing Terms
FAQs Frequently
Asked Questions
Patient-friendly billing flowchart Patient Friendly Billing Flowchart
(Requires Adobe Reader) 
Adobe Reader