Collection of Past Due Accounts. I understand that all unpaid accounts will be sent to collection, and no further services will be provided until the balance on my account is paid in full.
Collection of Past Due Accounts. Practice communicates with patients to resolve past due accounts in all cases. If Practice cannot reach a patient by phone following the return of undeliverable mail or if a patient payment agreement cannot be honored and Practice is not communicated with to resolve account balances, Practice may be forced to use the services of a professional collection agency. Once an account is placed with Practice’s contracted collection agency, under Practice’s contract with them, Practice cannot take the account back. Please inform Practice when or if your patient contact information changes so that Practice can always reach you to discuss any past due accounts.
Collection of Past Due Accounts. Purchaser shall have the exclusive authority to collect Past Due Accounts for a period of 120 days following the Closing Date (the "Collection Period") and shall exercise reasonable, good faith efforts to collect such Past Due Accounts, consistent with its customary practices. Purchaser shall promptly deliver any funds collected pursuant to this Section 6.11 to the Company. Subsequent to the Collection Period Sellers shall have the authority to collect Past Due Accounts from each Person who (i) was no longer a customer at the conclusion of the Collection Period and (ii) did not make any payment toward his Past Due Account during the Collection Period.
Collection of Past Due Accounts. We communicate with our patients to resolve past due accounts in all cases. If we cannot reach a patient by phone following the return of undeliverable mail or if a patient payment agreement cannot be honored and we are not communicated with to resolve account balances, we may find it necessary to use the services of a professional collection agency. Once an account is placed with a collection agency, we will be unable to retrieve it from the collection agency. Please let us know when or if your patient contact information changes so that we can always reach you to discuss any past due accounts. PATIENT STATEMENT OF AGREEMENT My signature below signifies that I have read and understand this patient agreement for Xx. Xxxx X. Richey, PC to provide medical services. I understand and agree to the terms in this patient agreement and intend on complying with them to the best of my ability. I also understand that if I fail to follow the terms of this agreement, I may be denied future services. Patient Signature: Date:
Collection of Past Due Accounts. We communicate with our patients to resolve past due accounts in all cases. If we cannot reach a patient by phone following the return of undeliverable mail or if a patient payment agreement cannot be honored and we are not communicated with to resolve account balances, we may be forced to use the services of a professional collection agency. Once an account is placed with our contracted collection agency, under our contract with them, we cannot take the account back. Please let us know when or if your patient contact information changes so that we can always reach you to discuss any past due accounts. RELEASE OF PATIENT CLINICAL RECORDS All release of medical records requires a signed and dated Release of Information (ROI) form with a current date (within prior 90 days). Please allow two (2) business days to process records requests. PATIENT STATEMENT OF AGREEMENT This patient agreement and the terms within it are effective for three (3) years from the date of my signature or until the agreement is revised. My signature below signifies that I have read and understand this patient agreement for Xxxx Xxxxxx, MD, PC to provide me medical services. I understand and agree to the terms in this patient agreement and intend on complying with them to the best of my ability. I also understand that if I fail to follow the terms of this agreement, I could be cancelled from future services. Signature of Patient (Or Witness if signature is by xxxx) Date
Collection of Past Due Accounts. If NuQuo should take any action against the Company for collection of fees the prevailing party shall be paid by the other party for reasonable fees and costs incurred by the prevailing party, including all legal fees and collection agency fees.
Collection of Past Due Accounts. We communicate with our patients to resolve past due accounts in all cases. If we cannot reach a patient by phone following the return of undeliverable mail or if a patient payment agreement cannot be honored and we are not communicated with to resolve account balances, we may be forced to use the services of a professional collection agency. Once an account is placed with the collection agency, we cannot take the account back. Please let us know when or if your patient contact information changes so that we can always reach you to discuss any past due accounts. RELEASE OF PATIENT CLINICAL RECORDS All release of medical records requires a signed and dated Release of Information (ROI) form with a current date (within 1 year).
