1
Understanding your bill from Phelps Health Account Number Statement Date Amount Due Service Provided Insurance Payment(s) Paent Payment(s) INSURANCE INSURANCE 1234567 1234567 1234567 1234567 1234567 1234567 1234567 1234567 1234567 12345 12345 Abraham Lincoln 2607 Log Cabin Dr. Salem, MO 65560 Use this color code to find important informaon on your bills, whether you are recieving a bill in the old or new format. Beginning October 1, 2020, Phelps Health bills will have a new look. Statements for the Phelps Health Medical Group and the Phelps Health Hospital will be combined into one bill. Paents may sll receive statements in the old billing format for services before October 1, 2020. Physician Services for Ariella Martin, FNP at Phelps Health Medical Office Building Old Bill New Bill Nov 28, 2021 Nov 28, 2021 Nov 28, 2021 December 28, 2021 December 28, 2021 December 28, 2021 December 28, 2021. This color code will not appear on your official bill.

Understanding your bill from Phelps Health New Bill Old Bill · Understanding your bill from Phelps Health Account Number Statement Date Amount Due Service Provided Insurance Payment(s)

  • Upload
    others

  • View
    4

  • Download
    0

Embed Size (px)

Citation preview

Page 1: Understanding your bill from Phelps Health New Bill Old Bill · Understanding your bill from Phelps Health Account Number Statement Date Amount Due Service Provided Insurance Payment(s)

Understanding your bill from Phelps Health

Account Number

Statement Date

Amount Due Service Provided

Insurance Payment(s)

Patient Payment(s)

��#�.9.9 CMXMcnc�M

M #�#

78:;<=y>:?;@8yA:BDE?;yFGHI<JKyL%+y15�N% XyOKyP129.Q%4*X4&yCc4(�$cyNcR-c�Mc&SHGyTD;;DUVyWUYIDGD:=yZ[\]_]_ab_ OXdcye�c$dJXfX� cyM%� 78:;<=y>:?;@8yA:BDE?;yFGHI<e�c$dg%"Cc c$MeX4&� yhiCjy yOey ykiCey yjOlmeX4&yg%" l+�"ykXMc6'2yk�o�MCc$-4�Mfe%&c7;:?=:yEHp<;:@:y<?qp:U@yDUrHGp?@DHUstEEHIU@yuHs v@?@:p:U@yw?@: 7?qp:U@ywI::Exa^b _�_�]�]_ aZsbA?D;y7?q l�Mc4yJXfnc�Myjn%-�M�yyy�fy�8:E��fy�?GBC�o�XM-4c�:?UyAyAD@E8:;;#09#yOX+*c yCMN% XyOKyP129#�8:E�yDryqHIGyD;;DUVyDUrHGp?@DHUy8?=yE8?UV:Bsy7GHDB:yI<B?@:�=�y?H:yHGyHUyG::G=:y=DB:y 7;:?=:yB:@?E8y?UByG:@IGUy@H<y<HG@DHUyxD@8y<?qp:U@sv@?@:p:U@yw:@?D; v@?@:p:U@yw?@:y_�_�]�]_yyyyytEEHIU@yuHsy:Exa^b

tVDUV �IGG:U@ \ay]y� ay]y � ay]ya_� a_��#1"02 9"99 9"99 9"99 9"99 7?qp:U@wI: #1"02�;?DpyuHs �D=D@yw?@: tE@DD@qyw?@: w:=EGD<@DHUyHryv:GDE: �8?GV:= 7?qp:U@= T?;?UE:#.62.6P .9.9'9P'9. .9.9'9P'9. JXM�c�M�y�cX�yOyO�M$�c �yj$$%-�Myg-n�c$*#22P0#.62.6P .9.9'9P'9. .9.9'9P'9. e X�n�#.62.6P�yJ4%(�&c4�yNX$�c yQcc c4�ygJ#.62.6P .9.9'9P'9. .9.9'9P'9. �6991yl�le�NKejNkiK�NjO�y�Njeig� .6"99#.62.6P .9.9'9P'9. .9.9'9P'9. ��.#6yK!!�$cyh���M�yl�MyJM"�y�c(c y6 #29"99#.62.6P .9.9'9P'9. .9.9'9P'9. JXM�c�MyJXfnc�M .1"99#.62.6P .9.9'9P'9. .9.9'9P'.6 �N�C�OjN�yJXfnc�M P1"61#.62.6P .9.9'9P'9. .9.9'9P'.6 �N�C�OjN�yj&�-�Mnc�M 1P"0##.62.6P .9.9'9P'9. .9.9'9P'.6 �%-4yLX X�$cyk-cyK�y��c�cyCc4(�$c�y""" #1"02y y y y y y yJ�c ��y�cX M�yOc&�$X y�4%-�yJKyL%+y15�yN% XyOKyP129.Q%4yL� ��oyi�R-�4�c�y156'2.P'.#0.

78:;<=y>:?;@8yA:BDE?;yFGHI<JKyLKmy15�N% XyOKyP129.'915�INSURANCEINSURANCE

1234567

1234567123456712345671234567123456712345671234567

123456712345

12345

Abraham Lincoln2607 Log Cabin Dr. Salem, MO 65560

Use this color code to find important information on your bills, whether you are recieving a bill in the old or new format.

Beginning October 1, 2020, Phelps Health bills will have a new look. Statements for the Phelps Health Medical Group and the Phelps Health Hospital will be combined into one bill.

Patients may still receive statements in the old billing format for services before October 1, 2020.

Physician Services for Ariella Martin, FNP at Phelps Health Medical Office Building

Old Bill

New Bill

Nov 28, 2021Nov 28, 2021

Nov 28, 2021

December 28, 2021

December 28, 2021

December 28, 2021

December 28, 2021.

This color code will not appear on your official bill.