If you have received a billing statement from Apria, your insurance has already been billed. When you receive a billing statement from Apria, the amount on the statement is the balance after insurance processing. Your insurance plan applied this remaining amount to either your deductible, co-insurance, or did not cover the claim. For an explanation of your benefits and coverage for your products and services, please contact your insurance directly.
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Billing Statement FAQs
If you have questions about your bill or what an item on your bill means, see below for our frequently asked questions regarding billing statements. For a list of bill item descriptions, see the table below the FAQs.
Was my insurance billed?
Did my insurance pay?
Insurance companies provide an explanation of benefit to their policy holders with the amount they cover for medical treatments. You should call your insurance or review your online account with them. This will resolve any questions regarding payment amount and when they pay.
Why am I receiving a bill?
A physician ordered your medical treatment and services to be provided by Apria. The amount stated that you owe on your bill is the amount not covered by your insurance company. Most insurance policies require a deductible or co-payment to be met.
I paid, but the online portal shows a payment is due, why?
Please allow 10 days for your payment to be processed and show on the online portal.
Why does my statement show a monthly rental charge?
Most insurance providers require that the equipment be considered a monthly rental. Please contact your insurance company directly to learn more.
Why is my order for supplies not being processed?
Apria requires that patients’ accounts to be in good standing and without a delinquent balance before processing new orders. Thank you in advance for helping Apria continue to bring outstanding service to our customers.
Billing Statement Item Descriptions
If you are unsure what an item is on your billing statement, see the below tables for itemized descriptions.
Billing and/or Payment Item Descriptions
| Adjustment | An adjustment is an increase or decrease to an existing invoice that can occur for a multitude of reasons. Adjustments occur when: a payment is received, a corrected claim from your insurance is reprocessed, items are returned for credit/refund, or other miscellaneous changes are necessary. |
| Bad debt write off | Bad debt write off is an adjustment made on Apria's end as patient cannot be billed per contract with insurance. |
| Credit | An amount resulting in an overpayment from an adjustment due to price change, return of product, or cancelled service available to be applied to an existing balance or possibly refunded. |
| Deductible | The amount a covered person must pay out-of-pocket each year before the health plan will begin paying benefits. |
| Insurance states no coverage | The insurance provider billed is showing no active insurance coverage for the patient listed. |
| Insurance states non-covered service | Your insurance provider informed Apria that the item(s) and/or service(s) we billed were not covered under your health plan. |
| Misc. service and charge | Charges that are requested by the patient that are not typically billable to insurance. For example: upgrade charge for full electric bed when only semi-electric is covered by insurance but patient requested upgrade. |
| Patient copay | The portion (usually a percentage; 20% for example) of a cost of a covered health care service or item you pay after you've paid your deductible. |
| Patient responsibility | An amount determined by a patient's insurance and/or Apria to be payable by the patient. |
| Patient responsibility per insurance | The patient's financial responsibility as listed on their insurance providers' explanation of benefits for such out-of-pocket costs as an annual deductible, coinsurance or non-covered item/service. |
| Payment | Funds received by the patient or insurance to cover billed amounts for supplies, equipment and/or services provided. |
| Revenue adjustment | An increase or a decrease made to payments received from the insurance or the patient when corrections in price are necessary which may lead to a refund or additional charge. |
| Sent to collection agency | Represents an unpaid and past due or delinquent balance due to non-payment from both the insurance and the patient and has been forwarded to an outside collection service for payment collection. |
Equipment and/or Service Item Descriptions
| Apnea monitor system | A machine used to monitor a baby's heart rate and breathing after coming home from the hospital. |
| Bathroom tub chair | A lightweight, water resistant, non-corrosive, and non-slip bathroom safety device that is placed within the bathtub or shower. |
| Bed hospital full-electric | A hospital bed for home use that has an electric motor controls that raise the head, foot and height of the bed frame with a push of a button. |
| Bed hospital semi-electric | A semi-electric bed uses electric motors on the head and foot adjustments only with electric controls, but the height of the bed is adjusted by using a hand crank as with a manual bed. |
| Bed mattress | A large, usually rectangular pad for supporting a lying person designed to be used on a bed frame as part of a bed. |
| BiPAP S | The S, meaning Spontaneous mode, of the BiPAP machine offers support to the breaths the patient takes on his/her own. |
| BiPAP ST | S/T is a setting on BiPAP machines for Spontaneous/Timed mode, which offer a combination of machine-delivered breaths and spontaneous, assisted breaths. |
| Breast pump | A mechanical device that lactating women use to extract milk from their breasts which are either manual devices powered by hand movements or automatic devices powered by electricity. |
| Breast pump supply | Includes breast milk storage bags, nursing pads, nipple cream and shields, essential kits, breast pump bags and backpacks, hands-free nursing bras |
| Clinical home visit | A consultation with a healthcare practitioner, other than a pharmacist, for women's health, which should address contraception and age-appropriate screening. |
| Commode | A commode chair is a portable toilet that can be placed at the bedside of a patient whose activity is limited. |
| CPAP/BiPAP supplies | The supplies for a CPAP or BiPap machine (continuous positive airway pressure and bilevel positive airway pressure). The supplies may consist of mask, tubing, filters, headgear, cushions, or items ordered for use of your CPAP/BiPap equipment. |
| CPAP/BiPAP supply N/C | Items necessary to use a CPAP/BiPAP machine properly such as a mask, tubing, or filters provided at no cost. |
| CPAP repair parts | Replacement parts necessary for the overall function of the device, such as a motor. |
| O2 concentrator | Oxygen concentrator is a unit that pulls oxygen from room air and delivers to the patient through their home equipment; requires a power source. |