DATE
Patient Name
Address
City, State Zip
Dear XXXXX:
I have just spoken to [insurance contact's name] at [insurance company]. She informs me that checks have been sent to you in payment for your services on [dates of service]. These checks are made out to both you and Dr Otterholt. If you could endorse them, and send them on to us, we would appreciate it. We can then credit your account, and clear your claims out of the system. Payment of the balance owed after insurance, $[xxx.xx] would also be appreciated
If you have any questions, please do not hesitate to call me.
Sincerely,
Jane Doe
Financial Coordinator for
Randy Otterholt, DDS
