Medical Collection Letter Example

Medical Collection Letter Example

Medical Collection Letter Example is free for your practice’s use. The Medical Collection Letter Example should be used as a first reminder notice to gently remind your patients to pay, or get in touch with your office to work out payment arrangements. The Medical Collection Letter Example is a first effort to motivate your patients to pay now; without harming your relationship. Just cut, paste, fill in your information and send.

Medical Collection Letter Example

[Your Name]
[Street Address]
[City, ST ZIP Code]

[Patient Name]
[Street Address]
[City, ST ZIP Code]

Dear [Patient Name]:

It is our office policy to contact patients who received a billing statement from us in the past 30 days, but have not responded yet.

You currently have a balance of $175.00. As of today, , not received your payment.

If you have a question regarding your medical bill or need help reading your insurance’s Explanation of Benefits (EOB), we would be be happy to help. We understand medical billing and insurance is not always simple to understand.

We also understand that sometimes our patients experience financial difficulties. Please let us know if you need to set up payment arrangements. We are able help you pay for the care you were provided without causing undue hardship.

If you have already sent payment in, then please, disregard this letter. Otherwise, we look forward to receiving your payment within five days of this letter. Dr. Smith will appreciate your prompt attention to this matter.

Sincerely,
[Your Practice Name]
[Title]

Medical Collection Letter Example

sample of collection letter- unpaid balance, sample medical collections letter