Q: Dr. M, I have been billing an insurance carrier for services provided one of our patients. We have yet to be paid even afyter resubmitting claims, faxinf notes and speaking with them over ten times. What else can I do? A: Thanks for the e-mail. I would send a copy of the claim and bill to the patient along with a letter stating the situation clearly. In the letter (which is sent as a cc to the insurance carrier) be sure to provide the provider relations phone number you call and the name of any contact or person you spoke with in the insurance company. Remember .. we are a third party in this game .. the insured .. your patient .. pays the monthly premium and has better leverage .. via their group health insurance (employee) contact. I letter could be written like this: Dear Mr. Smith, Our office has sent claims and office notes for our services rendered , see enclosed, and have yet to be paid. Since the turn around time for payment beyond normal, we have repeatedly called your insurance carrier (Prudential at 1-800-555-5555 and spoke with Jane Smith) with no resolution. Therefore, I am sending you copies of these claims and hope you can call them to expedite payment. Please realize that you are ultimately responsible for full payment and after 20 days, we will bill you for the total amount. If there are any questions, please do not hesutate to call me cc: Prudential Insurance See is this works Have a Great Day Dr. M