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Example Billing Statement for OAW

How to Read Your Billing Statement

  1. To pay by credit card, complete this section and sign your name.
  2. This number identifies your account.
  3. Last date of activity on this statement.
  4. This column shows the name of the physician who performed the procedure and the services (described as code numbers) that the pathology office provided.
  5. This column shows the amount charged for the pathology service
  6. This column shows how your insurance processed the charges.
  7. This is the amount you owe.