Free Nursing Home Payment Notice Template
Nursing Home Payment Notice
[Month, Day, Year]
Dear Resident/Resident Representative,
We hope this notice finds you well. We wanted to take this opportunity to provide you with an update regarding the payment for your stay at [Your Company Name].
As per our records, the following charges have been incurred for the services provided:
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Accommodation Charges: |
$________ per [billing cycle] |
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Care Services: |
|
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Medication Management: |
|
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Therapy Services: |
|
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Other Services (if applicable): |
|
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Total Due: |
Please ensure that payment is made by [Month, Day, Year].
Payment Options
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Check: Please make checks payable to [Your Company Name] and mail it to [Your Company Address].
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Electronic Funds Transfer (EFT): For EFT instructions, please contact our billing department at [Your Nursing Home Number] or email us at [Your Company Email].
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Credit Card: We accept Visa, MasterCard, American Express, and Discover. To make a payment using a credit card, please call our billing department at [Your Company Number].
Insurance Coverage
If you have insurance coverage or any questions regarding coverage, please reach out to our billing department. We are here to assist you with any inquiries or concerns.
Late Payment Policy
Late payments may incur additional charges as per our policy. We kindly request that payments be made on time to avoid any inconvenience.
Financial Assistance
If you are experiencing financial difficulties, please contact our financial assistance program at [Your Company Number] or email us at [Your Company Email]. We are committed to working with our residents and their families to find suitable solutions.
Important Note
Please note that failure to maintain payment may result in the termination of services provided by [Your Company Name], as outlined in our admission agreement.
Thank you for choosing [Your Company Name]. We appreciate the trust you have placed in us to provide care and support to you or your loved one.
Should you have any questions or require further assistance, please do not hesitate to contact our billing department at [Your Company Number] or email us at [Your Company Email].
Warm regards,
[Billing Coordinator]
[Your Company Name]
[Your Company Email]
