Medical Collections Dispute Letter Template for Indonesia

The Medical Collections Dispute Letter serves as a critical tool for patients in Indonesia who need to challenge medical bills that have been referred to collections. This document becomes necessary when there are discrepancies in medical billing, unauthorized charges, or disputes over the quality or necessity of medical services provided. It is structured to comply with Indonesian healthcare regulations, particularly Law No. 36 of 2009 on Health and Law No. 8 of 1999 on Consumer Protection. The letter should be used when informal resolution attempts have failed and formal documentation of the dispute is required. It includes detailed information about the disputed charges, grounds for dispute, supporting evidence, and formal requests for debt verification, while asserting the patient's rights under Indonesian law. This document is particularly relevant in the context of Indonesia's evolving healthcare system and increasing focus on patient rights and billing transparency.

1. Sender's Information: Complete contact details of the person disputing the medical bill, including name, address, phone number, and any relevant patient account numbers

2. Recipient's Information: Full details of the collection agency and/or healthcare provider, including company name, address, and any relevant account or case numbers

3. Subject Line: Clear indication that this is a formal dispute of medical debt collection, including relevant account numbers

4. Debt Information: Specific details about the disputed medical debt, including amount, date of service, and healthcare provider

5. Dispute Grounds: Clear statement of the reasons for disputing the medical charges, supported by relevant Indonesian healthcare laws

6. Evidence Reference: List of supporting documents attached to verify the dispute claims

7. Request for Verification: Formal request for the collection agency to verify the debt and provide detailed documentation

8. Legal Rights Statement: Reference to relevant Indonesian consumer protection and healthcare laws that support your dispute

9. Action Request: Clear statement of requested actions (e.g., cease collection activities, provide documentation, adjust bill)

10. Response Timeline: Specification of expected timeframe for response, in accordance with Indonesian regulations