Sample Letters

For Health Care Offices
(Medical, Dental, Optical, etc.)

Table of Contents

 

Collection Letters

Small balance owing

1

Small balance remaining the following month

2

Payments smaller than agreed to

3

Payments too small

4

Payment plan started

5

Payment plan started - talk about future treatment

6

Payment plan started - low payments to begin

7

Payment plan started - low payments to begin, indeterminate next payment

8

Payment plan - missed payment

9

Payment plan - missed second payment

10

Seriously delinquent account

11

Final Demand Letter (option 1)

12

Final Demand Letter (option 2)

13

Final Demand Letter (option 3)

14

Final Demand Letter (option 4)

15

Final Demand Letter - settlement offer

16

Account placed with collection agency

17

Account placed with collection agency

18

Automatic Payment Plans

Auto payment plans announcement

19

Auto payment plan - Credit card payments

20

Auto payment plan - Declined Credit Card Payment

21

Auto payment plan - Expired credit card

22

Auto payment plan - ACH

23

Returned ACH payment

24

Returned ACH payment - ACH canceled

25

Bankruptcy

Bankruptcy notice received - reaffirmation not requested

26

Bankruptcy dismissal

27

Bankruptcy - status update - generic

28

Bankruptcy - status update - specific

29

Bankruptcy - discharge notice needed

30

Change of Policy

Change of policy - no payment plans

31

Change of policy - with credit card guarantee

32

Change of policy - third party financing

33

Credit Balance

Credit balance

34

Credit Denial

Credit denial - credit report used

35

Credit denial - credit report not used

36

Death

Death of the customer - balance written off

37

Death of the customer - finding the executor

38

Death of the customer - writing the executor

39

Divorce

Divorce of the customer

40

Firing a patient

Firing a patient - no reason given

41

Firing a patient

42

Firing a patient who needs a follow-up visit

43

Reinstating a patient after notice of firing

44

Insurance

Insurance - annual limit reached

45

Insurance - balance owing after insurance payment received

46

Insurance - claim rejected

47

Insurance - kept insurance money - first letter

48

Insurance - kept insurance money - second letter

49

Insurance - procedure not covered

50

Insurance - "reasonable & customary" explained

51

Returned checks

Returned check - fee not charged

52

Returned check - fee charged

53

Returned check - funds still not available

54

Misc

Accused of violating the Fair Debt Collection Practices Act

55

Suggestions Welcomed

56