From past experience, I would be diligent with your collection efforts. After 90 days, send one final notice, then file with your local small claims court. It's very easy and most states allow the court costs to be added into the amount your suing for. It's not that difficult or stressful. Pretty easy actually. Secondly, if you receive a bad check and it's still not good, some states allow you to sue up to five times the amount of the check. Check with your local DA's office. That's what ours is here in our county. Good luck! PS: In the health care field, the longer an account goes delinquent, the more of a likelihood the malpractice incident could go up. Not that malpractice is the problem, but actually the patient is a deadbeat and won't pay.

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The Doctor's Rx
"The Doctor's Prescription for Success"