A claim is a request for reimbursement that’s submitted by your healthcare provider to your insurance provider in anticipation of receiving payment for services rendered.

An explanation of benefit (EOB) is a documentation of a claim and the allocation of financial responsibility for that claim sent to you by your insurance company. An EOB is specific to a provider and the service(s) rendered by that provider. An EOB should always identify the provider, service date, actual billed amount, network discount, allowed amount, insurance portion, patient responsibility, and deductible amount.

The Billed Amount is the amount your provider charged for a service. The Allowed Amount is the amount that they have agreed to accept based on a contractual agreement with you or your insurer.

The EOB (Explanation of Benefit) sent by your insurance company details the provider payment and how much you may still owe. It may also indicate that your claim has been denied. Be sure to review the paperwork to understand why the claim has been denied. Typically, there will be a “Reason Code(s)” and explanation listed on the EOB.

Please mail your payments to:
Primary Care Associates of Appleton, Ltd.
Attn: Patient Accounts
3916 N Intertech Court
Appleton, WI 54913

Yes! Please click here to pay your bill online. You will be taken to a secure, external site to submit your payment information. Payments made online before 7:30 p.m. will be posted to your PCAA account the next business day.

The Patient Accounts department at Primary Care Associates of Appleton can assist with any billing questions you may have. You may reach us by calling (920) 996-1055. Our customer service representatives are available Monday through Thursday 8 a.m. to 5 p.m. and Fridays 8 a.m. to 4:30 p.m.

Primary Care Associates of Appleton offers payment arrangements when you are unable to pay your entire bill.  Contact our Patient Accounts department at (920) 996-1055 to discuss and arrange a mutually agreeable payment schedule.