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INTEREST AND PENALTY ON PAYMENT

This calculator is for interest and penalty on unpaid medical treatment bills per LC 4603.2

Bill received date:
Payment issued date:
Bill amount: $
Service furnished: before 1/1/2004    on or after 1/1/2004
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Past due days:
Total days:
Bill + Penalty + Interest = Total: $ + $ + $ = $

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c/o Business Insurance Holdings, Inc.
PO Box 1010
Greenwich, CT 06836
(805) 484-0333