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Medical Collection Letter

Medical Collection Letter Template for Philippines

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Key Requirements PROMPT example:

Medical Collection Letter

"I need a Medical Collection Letter for a patient who has an outstanding balance of 鈧150,000 for cardiac surgery performed in January 2025, with no response to previous two billing statements and no insurance coverage."

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Document background
The Medical Collection Letter is a crucial document used in the Philippine healthcare system when seeking payment for unpaid medical services. It serves as a formal demand for payment while adhering to strict regulations under Philippine law, including the Data Privacy Act, Universal Health Care Act, and Consumer Act. This document is typically issued when regular invoices have gone unpaid and before considering legal action. It must balance firm collection practices with patient rights and privacy considerations, incorporating specific Philippine healthcare billing requirements and PhilHealth-related information where applicable. The letter should maintain professionalism while clearly stating the outstanding amount, service details, and payment options, ensuring compliance with local healthcare facility policies and national regulations.
Suggested Sections

1. Letterhead and Date: Healthcare provider's official letterhead, including complete contact information and current date

2. Patient Information: Complete name and address of the patient/debtor, account number, and other relevant identification details

3. Outstanding Balance Details: Clear statement of the total amount due, service dates, and breakdown of charges

4. Payment History: Brief summary of previous payments made and remaining balance

5. Payment Request: Clear statement requesting payment, including the due date and consequences of non-payment

6. Payment Instructions: Detailed information about acceptable payment methods and how to submit payment

7. Contact Information: Specific contact details for billing inquiries or payment arrangements

Optional Sections

1. Insurance Information: Include when there are pending insurance claims or insurance-related issues

2. Payment Plan Options: Include when offering installment payment arrangements

3. Dispute Rights: Include when required by law or when there's a history of disputed charges

4. PhilHealth Coverage: Include when there are applicable PhilHealth benefits or coverage issues

5. Legal Warnings: Include when it's a final notice or when legal action is being considered

6. Financial Assistance: Include when the healthcare provider offers financial assistance programs

Suggested Schedules

1. Statement of Account: Detailed breakdown of all charges, payments, and adjustments

2. Payment Plan Schedule: If applicable, detailed schedule of installment payments

3. Service Documentation: Summary of medical services rendered with corresponding dates and charges

4. Insurance Claim Status: If applicable, status of pending insurance claims and expected coverage

Authors

Alex Denne

Head of Growth (Open Source Law) @ 黑料视频 | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

alex.den.21@genieai.co
Relevant legal definitions

























Clauses















Relevant Industries

Healthcare

Medical Services

Hospital Administration

Debt Collection

Insurance

Legal Services

Financial Services

Healthcare Administration

Relevant Teams

Billing

Collections

Revenue Cycle

Patient Financial Services

Legal

Compliance

Patient Relations

Medical Records

Finance

Administrative Services

Relevant Roles

Healthcare Administrator

Billing Manager

Collections Specialist

Revenue Cycle Manager

Medical Records Officer

Accounts Receivable Specialist

Healthcare Finance Manager

Patient Financial Services Coordinator

Medical Billing Specialist

Compliance Officer

Legal Counsel

Patient Relations Manager

Industries







Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks, 聽Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination, 聽Severance Pay, Governing Law, Entire Agreemen

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