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Collection Letter Example

Date: 04/07/1997



DOUGLAS P CARTER
22 BRUCE ST
WILLOW, AK  90188




Re: Account #6589 Invoice #: 18290   Patient: DOUGLAS P CARTER
    Balance $201.00          Date of Service: 01/30/1997


Dear DOUGLAS P CARTER

We submitted a claim to DMEPOS ASSIGNED on your behalf for services provided to you on 01/30/1997.

As of this date, we have not received payment from you or your insurance company for these services.  We have tried to contact you several times by phone. However, we have not been successful.  Please contact us immediately at (608)257-4256 so we can work together to resolve this claim in an expedient manner.

Thank you.




Sincerely, 





ALASKA LIMB AND BRACE
Billing Department
2000 Main St.
Juneau, AK  53713
907-333-3333
800-222-2222