There will come a time when you will receive patient statements returned from the patient’s family, indicating our patient is deceased. You should verify with the local probate office to determine if there is an estate to file a claim against. Often there is no estate or there is little money available. Other than sending the account to a collection agency, are there any other alternatives (assuming all insurance has been properly filed) to try and collect? Not much else can be done, unfortunately. Try an attempt to collect from the estate by offering a discount if payment is made promptly. You could try small claims court. If you do write off any or part of the account, adjust off the balance with a specific credit adjustment code that will allow you to track total dollar write offs for deceased patients.