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Consolidated Patient Statement
Transcript of Consolidated Patient Statement
The statement is addressed to the patient’s or guarantor’s billing address.
This is the patient’s name and the account number.
Visit us online to:
Access your account.
Pay your bill.
View your statement.
Ask a billing question.
Apply for financial assistance.
The Account Summary provides you with a quick, easy-to-understand overview of new charges since your last statement, including a breakdown of insurance payments and pending insurance payments.
Always check this “What You Need to Do” box for important information about your account.
Mail your payment to this address to ensure timely credit to your account.
New charges are shown here on the back. The consolidated statement includes charges for hospital fees and some physician charges.
Your consolidated statement only includes services billed by Indiana University Health Revenue Cycle Services (formerly Clarian Health Revenue Cycle Services). You may still receive additional statements from providers who are not part of this billing service.
The Indiana University Health consolidated statement covers services incurred on or after Feb. 1, 2011. Some Indiana University Health facilities/groups began billing under the consolidated statement for charges incurred on or after Dec. 1, 2010. These facilities/groups include Indiana University Health Ball Memorial Hospital, Indiana University Health Ball Memorial Outpatient Surgery Center, Indiana University Health Ball Memorial Physicians (formerly Health Care Connections) and Indiana University Health Blackford Hospital.
You will be billed under the previous statement format for services incurred before Feb. 1, 2011 (before Dec. 1, 2010, for the facilities and practice group listed previously), and this will continue until those charges are paid in full.
Click the arrow below
to tour the statement.
If you have any additional questions, please contact our Customer Service department at 317.612.2754 or toll free at 877.668.5621 between 8 am – 7 pm, Monday thru Friday, excluding all major holidays.
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