Statement ready
Due July 20, 2025
Your balance
$75.00
Total charged$250.00
Your insurance paid-$175.00
You owe$75.00
What this is for
Office Visit — Primary Care
Visit: Jun 15, 2025
Autopay is scheduled
$75.00 will be charged on Jul 5 via ACH ••7712
Common questions
Need help?
Call billing: (800) 555-0100 · Mon–Fri 8am–5pm