There are two types of billing statements you might receive from WellSpan (examples below).
Information about specific fields found on your statement is below.
If you need assistance, please contact us:
Information about specific fields on your WellSpan Billing Statement
|Name of the patient that received services or the person financially responsible for the patient.|
|BILLING DATE||Date the statement was issued.|
|ACCOUNT NO.||This number identifies your account and invoice type. Below are some example account numbers that demonstrate how to determine your statement type.
|AMOUNT DUE||Current balance due on this account.|
|PAYMENT DUE BY||Payment due date.|
|DESCRIPTION||Summary of services the patient received.|
|CHARGES||Total charges without payments or adjustments.|
|PAYMENT/ADJUSTMENT||Total insurance and personal payments, as well as adjustments applied to the account. Adjustments are credits applied to you account such as contractual discounts.|
|CARD NUMBER||To pay by credit card, complete this section, date and sign your name.|
|MESSAGES||If you have a payment arrangement, the agreed upon payment amount will be shown here. Important messages regarding your account such as payment options, or final notice information can be found here. Your new online Enrollment ID for the WellSpan Medical Group will be located here.|
|PLEASE PAY THIS AMOUNT||This is the amount you pay. It 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 in full is due.|
|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.|