Understanding Your Billing Statement

The walkout and billing statements are almost identical and contain most of the same information.

During this explanation it will be necessary to scroll, from left to right and from top to bottom on the screen to the right to view the different parts of the statement as it is discussed in this window. The example is for a factious patient.

At the top on the left hand side of the statement you will see the office address and contact information. Below this is your address. On the top right hand side you will find your account number and the date the statement was printed. The next block down on the page contains treatment information for the last 45 days.

As you can see this block has 5 column across the page. The first column is the date the service was provided followed in the second column by a description of the service provided. If you have insurance there will be a claim number in parenthesis on the right hand side of column two. Column three will contain the name of the family member treated. Column four this the fee charged for the listed treatment. And the fifth and last column shows any credits to your account, things like personal payments, doctors credits, insurance payments or the statement 'waiting for ins. pymnt'. If the listed credit is an insurance payment the number of the claim settled will be in parenthesis on the right hand side of column two. This block is followed by the summary block.

This summary has seven columns. The first column is the total fee for all treatment provided in the last 30 days. The next column, column two, is a total fee for all the treatment provided more than 30 days ago but less than 60 days ago. The third column is the total fee for all the treatment provided more then 60 days ago but less then 90 days ago. Column four is the total for all treatment provided more than 90 days ago. The fifth column is the current account balance followed in column six with the amount estimated to be paid by the insurance company. The last column, seven, is the amount that either was not covered or is estimated to not be covered by insurance. This last column shows the amount you need to pay this billing cycle to keep your account balance current or up to date.

The footnotes are automatically generated by our software and provide additional information about your account balance.

If you have any further question call us at (630) 420-0013 or email us.