Understanding Your Statement
Your insurance company or any responsible third parties are billed prior
to sending you a final bill. All parties have processed these charges.
The balance due on this statement is your portion of the bill and your
responsibility to pay at this time.
You may have received one of two bill formats, depending on the date(s)
of your medical services.
If your care took place prior to June 2, 2018, your bill may look like this:
previous billing statements page for futher instructions on how to pay your bill.
If your bill looks like the image below, use the other dropdown accordion
options on this page to choose your payment method.
Hospital and/or Doctor Bills
You may receive a separate bill from physicians for their services. In
some cases, you may receive a bill from a physician you did not see, for
such services as radiology imaging review, pathology specimen analysis,
consultations, and anesthesia during surgery. In addition, you may receive
a bill from the hospital even if you did not visit the hospital. Your
physician may have sent a specimen to our hospital lab for analysis.
Definition of Terms
GUARANTOR ACCOUNT NUMBER: The number assigned to the party responsible for paying this bill.
GUARANTOR NAME: The person who was identified at the time of service as responsible for
paying this bill. The responsible party may or may not be the person who
received the services.
PATIENT NAME: This is the person who received the medical care/tests.
STATEMENT DATE: The date the statement was printed.
DUE DATE: Payment is due upon receipt.
ACCOUNT NUMBER: The number for the patient who received medical care/tests to match specific
charges to specific dates of service. A patient may have more than one
account number assigned to them.
DATE(S) OF SERVICE: The date or range of dates within which service was provided.
ADJUSTMENT: Changes to an account balance based on contractual agreements with insurance
companies or regulatory requirements.
DISCOUNT: Reduction of charges based on various criteria.
Electronic Check Disclosure
When you provide a check as payment, you authorize us either to use information
from your check to make a one time electronic fund transfer from your
account or to process the payment as a check transaction. For inquiries
540.741.1041 or 800.395.2455.
When we use information from your check to make an electronic fund transfer,
funds may be withdrawn from your account as soon as the same day to make
your payment, and you will not receive your check back from your financial
Financial Assistance is available through a special program offered by
Mary Washington Healthcare. If you have concerns regarding your ability
to pay your balance, please contact us at
540.741.1041 or 800.395.2455. Please see sections below to learn more about financial