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Hospital Bill Promissory Note
"I need a Hospital Bill Promissory Note for a patient who requires a 24-month payment plan for a CHF 50,000 medical bill, with monthly installments starting March 2025 and including a guarantor clause."
1. Parties: Identification of the healthcare provider (promisee) and the patient/debtor (promisor), including full legal names, addresses, and any relevant identification numbers
2. Background: Brief context of the medical services provided and the resulting hospital bill that forms the basis of this promissory note
3. Definitions: Key terms used in the document, including 'Principal Amount', 'Interest Rate', 'Due Date', and other relevant terms
4. Promise to Pay: Clear statement of the unconditional promise to pay the specified amount, including the exact sum in Swiss Francs
5. Payment Terms: Detailed payment schedule, including installment amounts, due dates, and payment methods
6. Interest Rate: Specification of any applicable interest rate, calculated in accordance with Swiss law
7. Default Provisions: Consequences of missing payments and conditions constituting default
8. Enforcement: Rights of the healthcare provider to enforce collection under Swiss debt collection laws
9. Governing Law: Explicit statement that the note is governed by Swiss law
10. Signatures: Space for dated signatures of all parties, with requirements for validation under Swiss law
1. Acceleration Clause: Optional clause making entire amount due upon default, used when dealing with larger amounts or higher-risk situations
2. Guarantor Provisions: Used when a third party is guaranteeing the payment obligation
3. Insurance Coverage: Include when part of the payment may come from insurance and coordination is needed
4. Prepayment Terms: Optional section specifying terms for early payment, including any penalties or benefits
5. Modification Terms: Section describing how the note can be modified, used for more complex payment arrangements
6. Privacy and Data Protection: Additional privacy provisions when sensitive medical information needs to be referenced
1. Schedule A - Original Hospital Bill: Detailed breakdown of the medical services and charges that constitute the principal amount
2. Schedule B - Payment Schedule: Detailed amortization schedule showing all payment dates and amounts
3. Schedule C - Insurance Information: Details of any insurance coverage and expected payments, if applicable
4. Appendix 1 - Copy of Identity Documents: Copies of identification documents of the promisor and any guarantors
5. Appendix 2 - Power of Attorney: If applicable, documentation authorizing someone to sign on behalf of the patient
Authors
Principal Amount
Healthcare Provider
Patient
Guarantor
Due Date
Interest Rate
Default
Payment Schedule
Medical Services
Hospital Bill
Business Day
Insurance Provider
Insurance Coverage
Payment Terms
Installment Payment
Late Payment Fee
Maturity Date
Default Interest
Place of Payment
Prepayment
Medical Records
Confidential Information
Force Majeure
Governing Law
Enforcement Proceedings
Collection Costs
Legal Representatives
Original Bill Date
Treatment Period
Healthcare
Medical Services
Financial Services
Insurance
Legal Services
Healthcare Administration
Debt Collection
Banking
Legal
Finance
Patient Financial Services
Billing
Collections
Compliance
Risk Management
Patient Relations
Administration
Hospital Administrator
Financial Controller
Healthcare Finance Manager
Patient Financial Services Director
Legal Counsel
Billing Coordinator
Collections Manager
Healthcare Compliance Officer
Medical Practice Manager
Accounts Receivable Specialist
Risk Manager
Patient Relations Manager
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