How to Read a Final Notice

To help you better understanding your final notice for medical services rendered, we are including a numbered and annotated final notice sample that outlines the specifics for you.

SAMPLE

  1. Make Checks Payable To: make check payment to First Emergency Care Physicians, the Emergency Group that provided the service at the hospital at which you were seen.

  2. Addressee: the addressee is the responsible party for the bill and services rendered.

  3. Payment Options: there are four payment options available to you:
    –     securely pay online: https://www.patientonlinepay.com (formerly erstatement.com)
    –     pay by phone: (800) XXX-XXXX 24-hours a day (sample phone # only)
    –     pay by mail: mail payment with coupon, Client ID and Account # noted on check
    –     quick pay by text: with Papaya by scanning the QR code by visiting ppaya/paynow

  4. Remit To: the address location where to send a check in the mail.

  5. Email Inquiries: select the correct email below
    –     patient inquiries: patient@patientonlinepay.com
    –     insurance inquiries: insco@patientonlinepay.com
    –     attorney inquiries: chartswap.com

  6. Remit Payment: the address location where to send a check in the mail.

  7. Patient Information: the patient who received medical tests and/or treatment services is listed, client number, patient account number and balance due.

  8. Final Notice: a final notice about your bill, including the option of setting up a payment plan.

  9. Insurance Notice: a final notice that the balance is what is remaining after insurance was applied.