Joseph and Hallie Moore48 Worth AvenueHudson, NY, 12534(917) 535 8225September 3, 2009The Vascular Group PPLCAttn: Paul Kreienberg, MDP.O. Box 25Albany, NY, 12201-0025Dear Dr. Kreienberg:We are writing in an effort to negotiate the medical bills of former patient Joseph S.Moore. We were very happy with the care Joe received, and want you to know howgrateful we are that you were on the team that brought him back from the brink.However, we now find ourselves in a very serious financial predicament. Because we arenot able to afford medical insurance, we are facing astronomical medical bills after Joe’srecent hospitalization. Because of this, we are approaching physicians, as well asColumbia Memorial Hospital, in the hopes that they will negotiate with us. If we areunable to successfully negotiate, our only recourse will be to declare bankruptcy.Through researching the medical reimbursement rates of Medicaid, we have come upwith the following total that we are prepared to pay immediately: $207.00.We sincerely hope that you will consider this offer, as we can not raise it. We realize thatMedicaid reimbursements are quite low, but we also know that you accept them daily. Itis very important to us that we compensate you for the excellent medical care that youprovided. If we are forced into bankruptcy, it is likely that you would never be able torecoup payment.Please contact us if you have any questions, or suggestions. We assure you that we wouldnot be making this offer were it not absolutely necessary. We appreciate yourunderstanding.Sincerely,Joseph and Hallie Moore (acct#

145528A490)

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I think this totalhad been around $800.