Current Location: Home > Interactive Demonstration > Employer Connection > Billing Invoices > Vision Invoice Summary
April 28, 2024

My Invoices Invoice Summary Vision Subscriber Adjustments Vision Active Subscribers Statement of Account

Download
Customize & Download Statement (PDF)
Download Statement (Excel)
Download Eligibility Worksheet (PDF)
Invoice Number:142658
Billing Period:01/01/2007 - 01/31/2007

Vision Group Number:40001-000-00000-00000
Group Name:VISION
Master Number:40001
Description: 
Phone Number:(999) 999-0000

VISION
GILLIAN MYERS
VP SECRETARY
2245 BLUE JAY WAY
ANYWHERE, USA 55555-0000

PRIOR DUE
 Prior Amount Due$62.20 
 Less Payment Received 62.20 
 Balance From Prior Billing .00 
 
CURRENT DUE
 Total Subscriber Adjustments$.00 
 Current Billed 62.20 
 Balance From Current Billing 62.20 
 
 Total Amount Due$62.20