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Understanding Your Bill
Patient Statement of Account
Use the numbers and corresponding explanations below to locate important information for this statement.
Please call us at (757) 233-4500 if we can assist with any questions or concerns.
- Patient Name
- Patient Acount Number - last four digits will change for each visit with exception of recurring accounts
- Date treatment began or date of admission for in-patient (hospital) treatment
- Date of the current statement
- Guarantor or person responsible for payment of entire bill or portion of bill not covered by a third party or health insurance company
- Payment amount expected from patient or quarantor. If empty, no payment is expected at this time
- Date payment must be received to insure credit before next billing cycle
- Type of Service
- Charges incurred during out-patient visit, in-patient stay, or recurring instances of treatment; Please note:
(a) The initial in-patient statement will show a summary of charges by department; a detail of charges is available on request by calling
(757) 233-4500
(b) The initial out-patient statement will show a detail of charges for the visit
(c) Follow up statements will show a "balance forward" and will indicate any payments or adjustments made during the billing cycle
- Name of insurance company billed for this account
- Name of facility where services were provided or rendered
- Phone number for Billing Customer Service or person handling this account
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