Mailing a Refund Check To Patient
Due To Their Overpayment
City, State ZIP
(or preferably print on letterhead)
City, State Zip
Analysis of your account shows that you made a personal payment prior to an insurance payment and a contractual insurance adjustment. This has resulted in a credit balance on your account.
Enclosed please find a check in the amount of $[xxx.xx].
Financial Coordinator for Dr._____