Free Medical Billing Inquiry Fax Sheet Template

Medical Billing Inquiry Fax Sheet

FAX

Date: May 18, 2050

To: [Recipient's Name]

[Recipient's Address]

Re: Medical Billing Inquiry

Fax no.: +1 (415) 555-7890

                                                                                                                                         

Message

Dear [Recipient Name],

We are writing to inform you about a Medical Billing Inquiry that requires your attention. Please find attached our Medical Billing Inquiry Fax Sheet outlining the details of the inquiry.

Inquiry Details:

Patient Name: [Patient's Name]

Date of Service: May 18, 2050

Nature of Inquiry: Requesting clarification on the billed amount for CPT code 99213 for the patient's office visit on May 18, 2050

We kindly request your prompt review and response to this inquiry to ensure timely resolution and accurate billing practices. Should you require any further information or have any questions regarding this inquiry, please do not hesitate to contact us at [Your Email].

Thank you for your cooperation and attention to this matter.

Sincerely,

[Your Name]

[Your Company Name]

Fax Sheet Templates @ Template.net