Back of Statement
J. Lakeland Health offers short term payment plan options. (Long term payment options are offered through a loan program)
K. Accounts on a Payment Plan (This shows all accounts on a Lakeland Health payment plan. Each additional account needs to be added by calling the business office. New accounts will not be
automatically added.)
L. Account balances, monthly payment, and number of payments left on the arrangement
M. Current amount due for the payment plans
N. Final Notice on past due accounts (These accounts have been on previous statements)
O. Location and name of the Provider
P. Charge per service
Q. Insurance payments and adjustments
R. Patient payments/adjustments (Payments made by the patient and any patient adjustments are listed here)
S. Balance due from patient for this visit
T. Description of services and insurance payments (Detailed description of office visits, or procedures may be listed here. Charges for reading images may be a separate charge, as well as visits from specialist while in the hospital)
U. Insurance balances (Balances still at insurance for processing at the time of the statement’s release will be listed here)