Can't speak for the physician's office that turned you over to Collection Agency--but I worked in a Physician's office for 30+ years---business office manager the last 15 years or so. We made sure that the patient had "X" number of bills with messages on them before we sent to Collection Agency---and we also researched the patients as well--reading their history, etc., to make sure that they could "pay". We "charged" off hundreds of dollars of debt from patients that we knew had responded and couldn't pay but sent balances of 20.00 to Collection on patients that had good jobs and ignored all of our attempts to work out some sort of payment plan. Obviously, the office that sent you to Collection is not the norm---or I would like to think they weren't. I'm glad you sent the letters. This office certainly needs to change their process of collecting outstanding accounts. Your letters may be the reason that they do.
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