1. Industry
Send to a Friend via Email

Your suggestion is on its way!

An email with a link to:

http://medicaloffice.about.com/od/billingforms/tp/Sample-Billing-Letters-2.htm

was emailed to:

Thanks for sharing About.com with others!

You can opt-out at any time. Please refer to our privacy policy for contact information.

Discuss in my forum

Sample Billing Letters 2

Balances Greater than $250.00

By

The suggested timeline for sending out patient statements for past due balances includes:

  • Statement Mailer #1: Patient account balances are 1 day past due
  • Statement Mailer #2: Patient account balances are 15 days past due
  • Statement Mailer #3: Patient account balances are 45 days past due
  • Statement Mailer #4: Patient account balances are 60 days past due

Here are sample letters of each statement mailer for patient's with balances greater than $250.00.

Statement Mailer #1

Patients in doctor's waiting room
Stuart Westmorland/Images Source/Getty Images

This statement is sent Day #1 of the patient statement timeline.

Sample Letter

Any Doctor Medical Practice
1234 Any Street
Any City, Any State, 12345
Phone # 555-555-5555
Fax # 555-555-5556
Email: billing@anydoctormedicalpractice.com
Website: www.anydoctormedicalpractice.com

Date

Patient Name
Address Line 1
Address Line 2
City, State and Zip Code

Dear _____________,

This letter is a reminder that the balance on your account in the amount of $________ is due now. We accept MasterCard, VISA and Discover.

If your payment is already on its way, we thank you and ask that you please disregard this notice. If not, we would appreciate receipt of your payment as soon as possible. If you would like to further discuss the details of your account, please do not hesitate to call patient billing at (555)555-5555.

Sincerely,

Patient Billing
Any Doctor Medical Practice

Statement Mailer #2

This statement is sent Day #15 of the patient statement timeline.

Sample Letter

Any Doctor Medical Practice
1234 Any Street
Any City, Any State, 12345
Phone # 555-555-5555
Fax # 555-555-5556
Email: billing@anydoctormedicalpractice.com
Website: www.anydoctormedicalpractice.com

Date

Patient Name
Address Line 1
Address Line 2
City, State and Zip Code

Dear _____________,

Your account is seriously past due. Please remit payment in full for the past due balance within the next 30 days. We accept MasterCard, VISA and Discover.

If your payment is not received, your account will be referred to an outside collection agency. If your payment is already on its way, we thank you and ask that you please disregard this notice. If not, we would appreciate receipt of your payment as soon as possible. If you cannot make payment in full and would like to make payment arrangements or if you would like to further discuss the details of your account, please do not hesitate to call patient billing at (555)555-5555.

Sincerely,

Patient Billing
Any Doctor Medical Practice

Statement Mailer #3

This statement is sent Day #45 of the patient statement timeline.

Sample Letter

Any Doctor Medical Practice
1234 Any Street
Any City, Any State, 12345
Phone # 555-555-5555,br> Fax # 555-555-5556
Email: billing@anydoctormedicalpractice.com
Website: www.anydoctormedicalpractice.com

Date

Patient Name
Address Line 1
Address Line 2
City, State and Zip Code

Dear _____________,

We are disappointed that we have not heard from you regarding your past due balance. Your account is in serious jeopardy of being reassigned to an outside collection agency. In order to prevent your account from further action, please make payment within 15 days. We accept MasterCard, VISA and Discover.

If your payment is already on its way, we thank you and ask that you please disregard this notice. If not, we would appreciate receipt of your payment as soon as possible. If you are unable to make payment in full due to financial difficulties, a reasonable payment plan is available so you can satisfy your obligation and keep your account in good standing. If you would like to further discuss the details of your account, please do not hesitate to call patient billing at (555)555-5555.

Sincerely,

Patient Billing
Any Doctor Medical Practice

Statement Mailer #4

This statement is sent Day #60 of the patient statement timeline.

Sample Letter

Any Doctor Medical Practice
1234 Any Street
Any City, Any State, 12345
Phone # 555-555-5555,br> Fax # 555-555-5556
Email: billing@anydoctormedicalpractice.com
Website: www.anydoctormedicalpractice.com

Date

Patient Name
Address Line 1
Address Line 2
City, State and Zip Code

Dear _____________,

Our repeated attempts to collect the balance due on your account have been ignored. Your account has been referred to an outside collection agency, ABC Collection Agency Services. In order to prevent negative marks to your credit history, we suggest you contact us immediately to make a payment. We accept MasterCard, VISA and Discover.

If your payment is already on its way, we thank you and ask that you please disregard this notice. If not, we would appreciate receipt of your payment as soon as possible. If you are unable to make payment in full due to financial difficulties, a reasonable payment plan is available so you can satisfy your obligation and keep your account in good standing. If you would like to further discuss the details of your account, please do not hesitate to call patient billing at (555)555-5555.

Sincerely,

Patient Billing
Any Doctor Medical Practice

3 Ways to Improve Patient Billing Communication

One major complaint that patients have regarding the total experience and impression about their office visit is related to patient billing. Many health care professionals view patient satisfaction as the patient's clinical experience but patient satisfaction involves every interaction that the medical office has from the time the appointment is scheduled until the patient's bill is paid in full.

Striving for successful patient billing communication is important to achieving excellent patient satisfaction results. If your medical office is suffering in this area, here are 3 simple ways to improve patient billing communication.

Read the entire article here
  1. About.com
  2. Industry
  3. Medical Office
  4. Medical Billing
  5. Billing Forms
  6. Sample Billing Letters - Balances Greater than $250.00

©2014 About.com. All rights reserved.