Statement ready
Due July 10, 2025
Your balance
$155.00
Total charged$375.00
Your insurance paid-$220.00
You owe$155.00
What this is for
Physical Therapy Eval
Visit: Jun 5, 2025
No payment method on file
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Common questions
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Call billing: (800) 555-0100 · Mon–Fri 8am–5pm