Collection Letter Example
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.
ALASKA LIMB AND BRACE
2000 Main St.
Juneau, AK 53713