What to do when a patient refuses to pay?

Asked by: Verna Schoen  |  Last update: March 27, 2025
Score: 4.3/5 (50 votes)

Initially, healthcare providers may attempt to discuss the issue with the patient to understand their reasons for non-payment. If unresolved, providers might send the bill to collections, which can negatively impact the patient's credit score. In some cases, the patient may face legal action for unpaid bills.

What do you do if a patient refuses to pay?

If after all these efforts, the patient still doesn't pay, the physician should send the bill to collections and dismiss the patient via a certified letter, requesting a return receipt. Dr. Fuller notes that physicians should provide dismissed patients with at least one month of time to find new medical care.

What is the very first thing you should do if a patient refuses treatment?

The patient has the right to refuse treatment. Document their refusal and notify the doctor. You can attempt to find out their reason and correct any misunderstanding but ultimately it is their choice.

What to do when a customer refuses to pay?

Send a Formal Demand Letter: If the situation doesn't improve, send a formal demand letter outlining the amount owed, the due date, and the consequences of non-payment. Consider Mediation: If direct communication fails, consider mediation as a way to resolve the issue without resorting to legal action.

Does a physician have a duty to treat a patient who is unable to pay?

Ability to Pay

Some medical providers may consider refusing to treat because of the patient's inability to pay for treatment. Generally, in non-emergency situations, this is allowed. A private internist, for example, might refuse to schedule a patient's appointment if that patient has unpaid medical bills.

How to Deal With a Client Who Refuses to Pay

36 related questions found

Can you discharge a patient for non-payment?

Patients can be dismissed from a practice for nonpayment of fees, but this situation must be handled carefully. The physician should closely evaluate the need for continuity of care, and it is strongly recommended that dismissal for this reason only be used as a last resort.

Is it ethical to stop treatment if the patient is not able to pay?

Legal and Ethical Considerations

The concepts of beneficence and nonmaleficence are the embedded in the clinician-patient relationship. Delinquent patients can be discharged except in emergencies, although clinicians are responsible for the treatment of patients until other medical help is available to them.

How to deal with a client who doesn't want to pay?

Send a debt collection letter

Let the client know when they need to pay you and what payment methods you accept. You should also outline the actions you'll take if you still haven't received payment. For example, you may have to discontinue your relationship with that client or send them to collections.

What if a client does not pay?

You may be able to take formal debt recovery action if a customer repeatedly fails to pay the money they owe you. Your first step should be to issue a final request for payment and give them 7 days to pay what they owe. If this is unsuccessful, you may need to consider issuing them with a Statutory Demand.

How do you force a client to pay?

There are several steps you can take for a client who won't pay:
  1. Write a very clear email and reattach your contract. Send a friendly email reminder to a customer for payment. ...
  2. Work with a lawyer to send a payment demand letter. ...
  3. Take legal action. ...
  4. Hire a debt collector.

Can a patient legally refuse treatment?

All adults with decision-making capacity (i.e. able to make decisions for themselves) have the right to accept or decline medical treatment—even if decisions may result in a poor outcome, including death.

What is the best course of action if a patient refuses treatment?

Document Your Actions

Practices will need to show that they have followed protocol to the furthest extent possible—and the reasons for any deviation from the standard of care. In addition, practices should have patients fill out an informed refusal form, but the form alone is not sufficient documentation.

What to do if a patient refuses help?

If the patient insists on refusing your care, where possible talk to the patient about their concerns and discuss the situation with your manager. A patient may request a nurse or midwife of the same or different gender to carry out certain procedures.

How do you deal with a patient refusal?

You can use a written form or a verbal record to confirm the patient's refusal of treatment, and the information and options that were provided to them. You can also note any witnesses or support persons that were present, and any additional steps that were taken to ensure the patient's understanding and consent.

Can doctors help patients financially?

Learn various ways physicians can help patients who cannot afford to pay for their care, including having open discussions about costs, offering payment plans or a sliding fee scale, and referring patients to assistance programs or financing companies.

Can a doctor sue a patient for non-payment?

Federal law considers initiating legal action to collect on unpaid medical bills to be an extraordinary collections action and also limits how much of a debtor's paycheck can be garnished to pay a debt. In most states, hospitals and debt buyers can sue patients to collect on unpaid medical bills.

How to get money from a client who won't pay?

How to collect money from clients who won't pay
  1. #1: Send a reminder email right away. ...
  2. #2: Follow up with a phone call. ...
  3. #3: Contact the billing department directly. ...
  4. #4: Pause or cancel future work. ...
  5. #5: Offer a payment plan. ...
  6. #6: Offer an incentive for payment. ...
  7. #7: Send a formal demand letter.

Can I sue a client for not paying?

Sometimes invoices are past due 30 days, 60 days, or even 90 days, and they've not been paid. Perhaps you've sent multiple invoices, followed up by both phone and email, and you're still not paid. You do have the option to sue for non-payment, but sometimes that needs to be a last resort option.

What would you do if a customer refused to pay?

How to get customers to pay past due invoices
  1. Send a gentle reminder. ...
  2. Send an updated invoice. ...
  3. Ask why the client isn't paying. ...
  4. Demand payment more firmly. ...
  5. Escalate the situation. ...
  6. Hire a factoring service. ...
  7. Hire a debt collection service.

How do you make a stubborn client pay?

How to Collect Money from Late-Paying Clients
  1. Send Polite Email Reminders. So let's start by assuming the best. ...
  2. Make a Simple Phone Call. ...
  3. Contact the Billing Department Directly. ...
  4. Cut off Future Work. ...
  5. Send a Final Demand Letter. ...
  6. Hire a Collection Agency. ...
  7. Go To Arbitration or Take Legal Action. ...
  8. Draw Up a Contract.

What to do if a client walks out without paying?

Let the customer know that you mean business by setting a firm deadline for payment. Make it known that if the bill remains unpaid beyond this deadline, there will be consequences – such as suspending further services or taking legal action if necessary. Being firm doesn't mean being rude.

How do you deal with someone who is not paying?

Here's an overview of the key steps in collecting debt.
  1. Late payment demand or letter before action. The first step is to send the customer a late payment demand or letter before action. ...
  2. Court proceedings. If the customer doesn't pay up, the next step is to start court proceedings against them. ...
  3. Court hearing. ...
  4. Mediation.

What to do if a patient doesn't pay?

If, despite gentle reminders and special efforts to collect amounts due, a patient still refuses to cooperate, it may be time to discharge him or her.

Can I sue for refusing treatment?

While there are many circumstances where refusal of care is permitted, there are still times when it constitutes medical malpractice. These cases must meet the four elements of malpractice under California law: Duty of Care: The provider or facility must have a duty to care for the patient.

What are examples of withholding treatments?

Examples of specific interventions that may be withdrawn or withheld include, but are not limited to, ventilatory support, hemodialysis, implanted cardiac defibrillators (ICDs), cardiopulmonary resuscitation (CPR), vasopressors, artificial (assisted) nutrition/hydration, and antibiotics.