About Your Bill
Understanding Your Bill
We want to make your experience at Scripps a positive one. With that in mind, we have developed a billing statement that is easier to read and understand.
See the sample statements below for more information.
Hospital statements
The following sample statement is for Scripps hospital facilities:
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Important messages for you (may be blank) |
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Your name and address |
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Your account summary |
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If you have multiple Medical Record Numbers (MRNs), please contact us |
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How to pay your bill electronically |
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Your insurance information (please call the provided number to update if needed) |
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Billing contact information |
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Perforated section to remit for payment |
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Enter your account number |
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Check your method of payment |
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Enter amount you will be paying |
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Area to fill out if paying by credit card |
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Breakdown of charges |
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Area to fill out any changes to your account information |
Statement for Scripps Clinic and Scripps Coastal
The following sample statement is for Scripps Clinic, Scripps Coastal Medical Center, and Scripps Cardiovascular and Thoracic Surgery Center locations.
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Your name and medical record number (MRN). Please let us know if you have more than one MRN. |
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Your account summary |
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How to contact us, if you have questions about your bill |
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How to pay your bill electronically |
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Portion of the bill to tear off and mail in with your payment |
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If paying by credit card, please fill out this section. The CVC code is the three digit number on the back of your credit card, to the right of the signature strip. |
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Amount you are paying |
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Please check this box if you want to change your address or insurance information. Write the new information on the back of the payment slip. |
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Breakdown of charges, payments and adjustments for each service provided |
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Total amount you owe, as of the statement date |