Providence Hospital - Billing Services Balance Due Statement

The Balance Due Statement provides patients with a summary of all of their outstanding accounts. The Balance Due Statement can be used by patients to pay their accounts, assess their financial obligations and to determine which of the many payment options best fit their needs. Below is a sample balance due statement. Refer to the red number and the key at the bottom of the page for an explanation of each area.   

1 Account Number :  when making inquiries, you will need to provide this number; also
include account number on all payments.
2 Patient Name : Name of patient who statement refers to.
3 Hospital Service : Identifies the type of services that were provided on this visit.
4 Insurance Balance Indicator : "+" refers to the balance due; "-" refers to a credit balance with insurance; "0" refers to no balance due from insurance.
5 Date : Day service was provided.
6 Patient Balance : Balance to be paid.
7 Total Patient Balance : Balance due.
8 Contact Information : The telephone number to call if you have questions or would like
to make payment arrangements.

If you would like a detailed statement for any of the accounts listed on the Balance Due Statement, you can use our Patient Statement Line at 248-746-3107, 24-hours a day, seven days a week. Statements will be mailed within three (3) business days of your request.

If you would like to discuss any of your accounts, you can contact a Customer Service Representative at 248-746-0037 OR 800-878-2455 during regular business hours, Monday through Friday.