A subset of medical collections is “kept check” cases. When an out-of-network (OON) medical provider provides services to a patient, the patient’s insurance company often sends a reimbursement check to its insured (your patient, in this case) to cover the allowed portion of the OON charges of the medical provider. Most of the time, the patient knows to pay the medical provider upon receipt of such a check. However, all too often, a patient “keeps” that check and does not pay the doctor. On behalf of the medical providers we represent, we pursue such clients vigorously to obtain payment for the doctor’s services.