This communication is from a debt collector. This is an attempt to collect a debt. Any information obtained will be used for that purpose.

*By choosing to hit send: (1) I understand and agree that Receivable Solutions may use third party vendors, including but not limited to, letter vendors, payment processor, website creators, etc., to timely service and/or process my account(s), using in part, account information available or provided and I consent to Receivable Solutions’ use of third party associates related to my accounts. (2) I am consenting to receipt of Electronic Communications and the terms contained in this form.

I authorize Receivable Solutions LLC (“RSi”) to send me any and all communications electronically (“Electronic Communications”). Electronic Communications includes sending via e-mail, or via any other electronic means, current and future notices and/or disclosures that may be required by law, correspondence, statements and other communications regarding any account placed (now or in the future) with RSi.

I acknowledge that with my consent to receiving Electronic Communications, my intent is to be bound by the terms of this form.

I consent to receiving Electronic Communications from RSi at the e-mail address provided by me to RSi. I acknowledge that Electronic Communications: (a) can be intercepted, altered, forwarded or used without authorization or detection, (b) can be circulated, forwarded and stored in paper and electronic files, and (c) may be lost due to technical failure during composition, transmission or storage. I acknowledge and understand if I provide RSi an e-mail address provided to me by my employer or related in any manner to my workplace or place of employment, the contents of the Electronic Communication may be disclosed to a third party due to interception, circulation, forwarding, or for any other reason.  I do not have a reasonable expectation of privacy in an email address associated in any way with my employment. I also acknowledge  I am aware of who else in my household may intercept Electronic Communications (for example, family members and roommates) and I have taken all precautions to eliminate others from accessing my Electronic Communications, or understand the risk of such interception. I authorize RSi to transmit Electronic Communications to the e-mail address I provide to RSi and to include the following in the Electronic Communications: In the “To” line of the email: My name or other individual identifying information. In the “From” line of the email: Receivable Solutions or RSi. In the “Subject” line of the email: An account number or other identifying information. I acknowledge I have been informed of the following: a.) The right to receive a paper version of an Electronic Communication. I may obtain a paper version of any Electronic Communication by contacting RSi at 1-803-790-0446. b.) The right to withdraw consent to receive Electronic Communications. I may withdraw my consent by contacting RSi at 1-803-790-0446 or by “unsubscribing” in any email sent to me.  This consent is a continuing consent for RSi to send me Electronic Communications unless and until I opt out of such communications. I may update my electronic address by contacting RSi at 1-803-790-0446.

Receivable Solutions (RSi) has been successfully providing AR Management and Collection Services for over 20 years. We establish and maintain mutually beneficial relationships with health systems who want to increase collections as much as possible. Our clients love that we ensure each patient receives an incredibly high level of patient service.

For more info on privacy and compliance, visit https://rsircm.com/privacy-compliance/.