You have an outstanding balance of $180.00.

Hi John Doe,
Your health insurance claim for your appointment with Dr. Noor has been finalized. Here is your outstanding balance.

Description
Provider
Date
Amount
Dental cleaning Dr. Noor May 26 2017 $40.00
Cavities filling Dr. Noor May 26 2017 $140.00
Total $180.00
Please pay your outstanding balance by June 23, 2017. Pay invoice