rcm glossary

Demand letter

Demand letter is a formal written communication sent by a healthcare provider to a patient or insurance company, requesting payment for services rendered.

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What is a Demand Letter?

A demand letter, also known as a collection letter or a dunning letter, is a formal written communication sent by a healthcare provider or a medical billing company to a patient or a responsible party to request payment for outstanding medical bills. It serves as a final notice before escalating the matter to a collection agency or pursuing legal action to recover the unpaid amount.

The demand letter typically outlines the details of the outstanding balance, including the amount owed, the services provided, and the dates of service. It also specifies a deadline by which the payment must be made to avoid further action. Additionally, the letter may include information about available payment options, such as online payment portals, payment plans, or financial assistance programs.

Difference between Demand Letter and Collection Letter

While the terms "demand letter" and "collection letter" are often used interchangeably, there can be a subtle difference in their usage. A demand letter is typically the first formal communication sent to a patient or responsible party requesting payment for outstanding medical bills. It serves as a final notice before escalating the matter to a collection agency or taking legal action.

On the other hand, a collection letter is a broader term that encompasses all written communications sent during the debt collection process. Collection letters can include initial reminders, follow-up notices, and subsequent communications after the demand letter. These letters are usually sent in a series, with each subsequent letter becoming progressively more assertive or urgent in tone.

In summary, a demand letter is a specific type of collection letter that serves as the final notice before taking further action, while collection letters encompass all written communications throughout the debt collection process.

Difference between Demand Letter and Final Notice

The terms "demand letter" and "final notice" are often used interchangeably, but there can be a slight difference in their meaning. A demand letter is a formal written communication sent to a patient or responsible party requesting payment for outstanding medical bills. It outlines the details of the outstanding balance, specifies a deadline for payment, and may provide information about available payment options.

On the other hand, a final notice is a term commonly used to refer to the last communication sent to a patient or responsible party before taking legal action or transferring the debt to a collection agency. It serves as a final warning that immediate payment is required to avoid further consequences.

While the content and purpose of both a demand letter and a final notice are similar, the term "final notice" often implies a more urgent and imminent action compared to a demand letter. It signifies that the healthcare provider or medical billing company has exhausted all other attempts to collect payment and is now prepared to take more aggressive measures.

Examples of Demand Letters

To provide a better understanding of how demand letters are structured and what they typically include, here are a few examples:

Example 1

[Your Healthcare Provider's Logo]

[Date]

[Patient's Name]

[Patient's Address]

[City, State, ZIP]

Subject: Final Notice - Outstanding Balance for Medical Services

Dear [Patient's Name],We hope this letter finds you in good health. We are writing to bring your attention to an outstanding balance of $XXX for the medical services provided to you by [Healthcare Provider's Name] on [Date(s) of Service].

We understand that managing medical expenses can be challenging, and we strive to work with our patients to find suitable payment arrangements. To avoid further action, we kindly request that you remit the outstanding balance by [Deadline: Date + Time]. Failure to make payment by the specified deadline may result in the escalation of this matter to a collection agency or legal action.

If you are experiencing financial difficulties, we encourage you to contact our billing department at [Phone Number] to discuss available payment options, including payment plans or financial assistance programs.

We value your relationship as a patient and appreciate your prompt attention to this matter. Please do not hesitate to reach out to us if you have any questions or concerns.

Sincerely,

[Your Name]

[Your Title]

[Healthcare Provider's Name]

[Contact Information]

Example 2

[Your Medical Billing Company's Logo]

[Date]

[Responsible Party's Name]

[Responsible Party's Address]

[City, State, ZIP]

Subject: Urgent Payment Request - Outstanding Balance for Medical Services

Dear [Responsible Party's Name],

We hope this letter finds you well. We are writing on behalf of [Healthcare Provider's Name] to bring your attention to an outstanding balance of $XXX for the medical services provided to [Patient's Name] on [Date(s) of Service].

As the responsible party, it is your obligation to ensure the timely payment of medical bills. We kindly request that you remit the outstanding balance by [Deadline: Date + Time] to avoid further action. Please note that failure to make payment by the specified deadline may result in the escalation of this matter to a collection agency or legal action.

To facilitate the payment process, we offer various convenient payment options, including online payment portals, payment plans, or financial assistance programs. If you require any assistance or have questions regarding the outstanding balance, please contact our billing department at [Phone Number].

We appreciate your immediate attention to this matter and look forward to resolving the outstanding balance promptly.

Sincerely,

[Your Name]

[Your Title]

[Medical Billing Company's Name]

[Contact Information]

These examples illustrate the key components of a demand letter, such as the purpose, outstanding balance details, deadline for payment, available payment options, and the consequences of non-payment. The tone of the letter should be professional, yet assertive, conveying the urgency of the situation while maintaining a respectful approach.

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