Promise Promissory Note For Hospital Bill Template for United Arab Emirates

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Key Requirements PROMPT example:

Promise Promissory Note For Hospital Bill

"I need a Promise Promissory Note For Hospital Bill for a cardiac surgery payment of AED 75,000, with the full amount due by March 15, 2025, compliant with UAE law and including standard default provisions."

Document background
The Promise Promissory Note For Hospital Bill is a crucial document in UAE healthcare financial management, typically used when patients require a formal arrangement to pay for medical services received. This document becomes particularly relevant in situations involving significant medical expenses, extended payment terms, or when a third-party guarantor is involved in securing the payment. It must comply with UAE Federal Law No. 18 of 1993 (Commercial Transactions Law) and healthcare regulations, ensuring all essential elements of a valid promissory note are present while specifically addressing healthcare payment obligations. The document typically includes patient details, exact amount owed, payment schedule, and any guarantor information, serving as a legally enforceable instrument that hospitals can rely on for securing payment commitments. It's particularly useful in cases of non-insurance covered treatments, partial insurance coverage, or when installment payments are arranged.
Suggested Sections

1. Date and Place of Execution: Specific date and location where the promissory note is executed, which is crucial for legal validity

2. Parties Information: Full legal names, Emirates ID numbers, and addresses of both the promisor (patient/guarantor) and promisee (hospital)

3. Amount Promised: The exact amount promised to be paid, expressed in both numbers and words in AED

4. Payment Terms: Specific date or timeline when the payment is due, including whether it's a single payment or installments

5. Reference to Hospital Services: Brief description of the medical services rendered and associated bill numbers

6. Unconditional Promise Statement: Clear statement of unconditional promise to pay as required by UAE law

7. Signature Block: Space for promisor's signature, with full name and Emirates ID number

Optional Sections

1. Guarantor Details: Used when someone other than the patient is promising to pay the bill, including full legal name and Emirates ID

2. Installment Schedule: Include when payment is to be made in multiple installments, detailing the amount and due date of each payment

3. Interest Clause: Optional clause about any applicable interest or late payment charges, if allowed under Sharia principles and agreed upon

4. Witness Details: Section for witness information and signatures when additional verification is desired

5. Language Declaration: Required only if the note is bilingual, stating which language version prevails

Suggested Schedules

1. Schedule A - Hospital Bill Details: Itemized list of hospital services and charges being promised for payment

2. Schedule B - Payment Schedule: Detailed breakdown of installment amounts and due dates, if applicable

3. Appendix 1 - Copy of Hospital Bill: Attached copy of the original hospital bill referenced in the promissory note

4. Appendix 2 - Identity Documents: Copies of Emirates ID or other identification documents of the promisor/guarantor

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Relevant Industries

Healthcare

Medical Services

Hospital Administration

Financial Services

Insurance

Legal Services

Healthcare Finance

Medical Billing

Patient Services

Relevant Teams

Legal

Finance

Patient Services

Revenue Cycle

Medical Records

Compliance

Patient Financial Services

Hospital Administration

Credit Control

Accounts Receivable

Relevant Roles

Hospital Administrator

Finance Manager

Medical Billing Specialist

Healthcare Financial Analyst

Legal Counsel

Patient Services Manager

Credit Controller

Accounts Receivable Manager

Healthcare Operations Director

Compliance Officer

Revenue Cycle Manager

Patient Financial Services Coordinator

Hospital Legal Administrator

Insurance Coordinator

Industries
Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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