Two weeks ago, during my business trip to Kansas City

November 13, 2011

Justin Holloway

XYZ Company

1234 Archer Road

Gainesville, Fl 32607,

[Subject: Normally bold, summarizes the intention of the letter] -Optional-

Dear Justin Holloway,

Two weeks ago, during my business trip to Kansas City, Missouri, I tripped and severely strained my right arm. I was confined overnight at the Providence Medical Center and had to pay for my medical bills with cash. The total amounted to $2700. As is outlined in the policy, I contacted my doctor back home the same night that I was admitted.

I am writing to you now to make a claim on my insurance policy. My account number is 4582946. I hope that you can reimburse me at the soonest possible time. Should you need anything else from me to complete this process, please get in touch with me at 333-3333. Thank you.


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