Why you received more than one bill

Best first step: Compare the date of service, account number, provider or facility name, charge description, and insurance activity before assuming the bills are duplicates.

• More than one bill can arrive after the same care episode.
• Separate bills may come from the facility, provider, emergency department, lab, imaging, pharmacy, or specialty services.
• Brookhaven and Alchemilla charges may appear on different statements depending on the care provided.
• Insurance processing, claim adjustments, corrected statements, or delayed charges can cause bills to arrive at different times.
• Multiple bills are not always duplicates, but you can ask billing to review them if they look the same.
• Request itemized statements if the charge descriptions are unclear.

Bill type	What it may cover
Facility bill	Use of the hospital, clinic, emergency department, treatment space, room, supplies, or facility resources.
Provider bill	Care from physicians, clinicians, specialists, therapists, or other professional providers.
Lab or imaging bill	Blood work, specimens, X-rays, CT, MRI, ultrasound, interpretation, or diagnostic testing.
Emergency services bill	Emergency department care, emergency providers, observation services, or related urgent testing.
Brookhaven bill	Behavioral health assessment, observation, inpatient care, therapy, medication review, or discharge planning.

• A facility bill may list Alchemilla, Brookhaven, emergency services, outpatient care, or hospital services.
• A provider bill may list a physician, clinician, therapist, specialist, or provider group.
• The bills may have the same visit date but different account numbers.
• The bills may be processed by insurance at different times.
• One bill may show a patient balance before another bill has finished insurance review.

• Lab work may bill separately from the visit where it was ordered.
• Imaging may include a technical charge and a provider interpretation charge.
• Pharmacy or medication-related charges may appear separately during some stays.
• Specialty consults may create separate provider charges.
• Diagnostic testing may appear under a different department or account.
• Insurance may process each claim separately.

• Alchemilla Emergency Services may bill for emergency medical assessment, stabilization, testing, or emergency treatment.
• Brookhaven may bill for behavioral health assessment, observation, inpatient care, therapy, medication review, or discharge planning.
• Lab, imaging, pharmacy, or specialist charges may appear separately.
• A transfer or change in level of care may create charges with different dates or departments.
• Insurance may process emergency care and behavioral health care under different claim rules.

• One claim may finish processing before another.
• A statement may be created before insurance finishes review.
• An insurance denial, correction, or resubmission may create a new statement.
• A payment, refund, financial assistance adjustment, or discount may post after a statement is sent.
• Corrected statements may replace earlier statements.
• Different bills may have different due dates depending on processing time.

Ask for review if two bills show the same patient, same date of service, same charge description, same amount, and same account or provider information.

• Check whether the account numbers are different.
• Check whether one bill is facility and the other is provider.
• Check whether one bill is a corrected statement or reminder notice.
• Check whether one bill shows insurance activity and the other does not.
• Check whether the charges are for different departments or services.
• Ask billing to confirm whether the bills are separate or duplicate.

• Patient name and date of birth.
• Account numbers, statement numbers, or invoice numbers.
• Dates of service on each bill.
• Facility, provider, or department listed on each statement.
• Charge descriptions and amounts.
• Insurance payments, adjustments, or denial notes.
• Payments you already made and confirmation numbers.
• Whether any statement says corrected, final, reminder, or past due.

• Request itemized detail for each statement number.
• Ask whether each statement includes facility charges, provider charges, or both.
• Compare service dates and departments.
• Compare insurance activity on each statement.
• Ask billing to explain unfamiliar charge categories.
• Ask whether a corrected statement will be issued if an error is found.

1. Gather all bills you received for the care episode.
2. Identify the bills that appear duplicated or unclear.
3. Provide the account or statement numbers.
4. Explain what appears duplicated or incorrect.
5. Include any insurance explanation of benefits if available.
6. Include proof of payment if a payment is missing or applied incorrectly.
7. Ask whether any account is still waiting for insurance processing.
8. Ask whether payment deadlines or collections are affected while review is open.

Contact billing as soon as possible if one of the bills has a payment deadline, final notice, collection notice, insurance deadline, missing payment, or possible duplicate payment.

• You received a final notice or collection notice.
• You believe the same bill was paid twice.
• A payment was withdrawn but does not appear on the account.
• Your insurance appeal or reimbursement deadline is approaching.
• You need proof of payment or corrected billing quickly.
• You cannot pay the balance and need payment-plan or financial-assistance options.

Billing support is separate from medical care. If you need medical or behavioral health help, do not wait for a billing response.