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Learn how to write an overcharged bill complaint letter. Use our sample overcharged bill complaint letter as a template for your complaint letter.
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Overcharged Bill Complaint Letter Sample
[Your Name]
[Your Address]
[City, State, Zip Code]
[Your Bill or ID Number]
[DATE]
[Hospital or Doctor’s Name]
[Billing Department]
[Hospital or Doctor’s Address]
[City, State, Zip Code]
Dear [Name of Billing Officer]:
This letter is to formally inform you that the bill you gave me has overcharged for treatment in your hospital on [DATE].
I received treatment for a broken arm after an automobile accident on that day. Technicians took x-rays and set my arm, at which time I was discharged. The bill you gave me lists an MRI scan for the cost of [AMOUNT], which I didn’t have.
I have included a copy of the bill with the MRI cost highlighted. I have also included the record of treatment given to me when I was discharged.
As you can see, I did not receive an MRI scan. Based on this information, I request that you send me a new bill that excludes the cost of an MRI scan.
I have sent this request within the 30 day limit according to the instructions given to me by you for billing disputes.
I hope to hear from you within two weeks from the date you receive this letter. I can be reached at [555-123-4567] or at [name@email.com].
Thank you for you quick attention to this matter.
Sincerely,
[Signature]
[Your Name]
[Your Billing or Treatment Number]
List of Enclosures
