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the eye institute of west florida

Frequently Asked Questions (FAQ)

To better understand what each part of your bill means, we have created an example below for your convenience. Click on the image to open a larger version for better viewing.

Example Bill:

Glossary of Items:

  1. The address to remit payment to via check or credit card information.
  2. Credit card information details you can provide to pay your bill.
  3. Your account balance or the amount of money you are responsible for.
  4. The date of your service.
  5. The doctor who performed your service.
  6. The description of what service was performed.
  7. The charge for the service you received.
  8. The adjustments and/or credit made by your insurance or previous payments for that service.
  9. The balance owed for that service.
  10. Your payment responsibility for that service.
  11. The amount of money insurance will pay for your service(s). This amount is pending claims.
  12. The total charges rendered during the account statement period (monthly).
  13. The last payment amount and date we received for you.
  14. The primary and secondary (if applicable) insurances we are billing for the services rendered.
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Category: Billing & Insurance
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