There are two types of billing statements you may receive from WellSpan:
Information about specific fields found on your statement is below. See of a sample billing statement HERE.
Information about specific fields on your WellSpan Billing Statement
|(1) ACCOUNT NO.||This number identifies your account and invoice type.|
|(2) STATEMENT DATE||Date the statement was issued.|
|(3) PAY THIS AMOUNT||Current balance due on your account.|
|(4) PATIENT NAME or
|Name of the patient who received services or the person financially responsible for the patient.|
|(5) PAYMENT DUE BY||Payment due date.|
|(6) DESCRIPTION||Summary of services received by the patient.|
|(7) CHARGES||Total charges without payments or adjustments.|
|(8) PAYMENTS/ ADJUSTMENTS||Insurance and personal payments applied to your account, as well as adjustments made. Adjustments are credits applied to your account, such as contractual discounts.|
|(9) CARD NUMBER||If you wish to pay by credit card, please complete this section.|
Important messages regarding your account (e.g., payment options or final notice information) can be found here.
Your new online enrollment ID for the WellSpan Medical Group also will be located here.
If you have a payment arrangement, the agreed upon payment amount will be shown here.
|(11) PLEASE PAY THIS AMOUNT||This is the amount you should pay. Your payment is due 21 days after the statement date unless you have made payment arrangements with us. The minimum payment amount will be shown here. Otherwise, the balance is due in full.|
|(12) POLICY #/ ENROLLMENT ID #||The enrollment identification number is an individualized, unique number assigned to enrolled patients. Your new online Enrollment ID for the WellSpan Hospital Billing will be located here.|
|(13) SERVICE DATE||This is the date WellSpan services were rendered.|
|(14) TOTAL||This is your total of the charges for services received after payments and adjustments.|
If you need assistance, please contact us:
This search will provide you with WellSpan Medical Group and Northern Lancaster County (Ephrata) Medical Group primary care physicians and specialists. If we don’t have a WellSpan Medical Group physician to meet your criteria, the search will expand to include community physicians who partner with WellSpan Medical Group physicians through the WellSpan Provider Network or provide care to patients on the Medical Staffs of WellSpan’s Hospitals.×