A payment of $87.30 will be processed and a Prompt Pay discount of $2.70 will be deducted from your account balance.

This is confirmation that $87.30 has been submitted for Account Number 319803201 on 10/18/2021 to Northern Light Eastern Maine Medical Center. Your Confirmation Number is 4014202140.

Please print a copy of your receipt for your records.

If you received a price estimate, please consider the following:

• Your estimate is not a guarantee of your actual charges. You may receive a bill if your charges are greater than the estimated amount.
• You are responsible to pay all charges on your account regardless of the charge estimate provided to you.
• Any amount paid in excess of your actual out-of-pocket expense will be refunded to you.
• Balances due after your insurance pays your claim will be billed to you.
• You may receive a separate bill from other non-Northern Light Eastern Maine Medical Center healthcare providers such a Radiologists, Pathologists, Ambulance, etc.