Patient Statement
James Whitmore
ACC-10042 · Aetna
Overdue
Due May 31, 2025
Provider Note — Patient Confusion Hotspot
This is where most patient disputes originate. Use plain-language explanations below to prevent inbound calls. If insurance denied a line, make sure it is called out clearly.
What Was Billed
MRI — Lumbar Spine
Visit: Apr 22, 2025
$2100.00
What Insurance Covered
Insurance paid (Aetna)− $1210.00
What You Owe
$890.00
This is the remaining balance after your insurance paid their portion. This is your responsibility under your Aetna plan (deductible, copay, or coinsurance).
Patient-facing statement
The simplified version the patient sees on their phone.