Live Help
Placement Submission

Certain fields make it possible to collect on delinquent accounts. These fields are what SCI calls "required fields." This is basic information about the debtor so that SCI can make contact and attempt to collect. There are also fields that are not necessarily required, but are very useful in this process. Below is a list of these fields.

You can also access a downloadable document for your review below.

  1. Medical Required Account Fields
  2. Commercial or NonMedical Required Account Fields

The following fields are required for each debtor account placed:

  1. Client's Account Reference No.
  2. Guarantor (or Debtor) Last Name
  3. Guarantor (or Debtor) First Name
  4. Guarantor (or Debtor) Address 1
  5. Guarantor (or Debtor) Address 2
  6. Guarantor (or Debtor) City
  7. Guarantor (or Debtor) State
  8. Guarantor (or Debtor) Zip
  9. Guarantor (or Debtor) Phone No.
  10. Patient Name (Last, First) (if applicable)
  11. Mail Returned? (Y or N)
  12. Assigned Amount
  13. Date of Last Charge
  14. Patient DOB (if applicable)
  15. Patient SSN (if applicable)
  16. Guarantor (or Debtor) SSN
  17. Guarantor (or Debtor) DOB
  18. Employer Phone No.
  19. Employer Name
  20. Employer Address 1
  21. Employer Address 2
  22. Employer City
  23. Employer State
  24. Employer Zip

The following fields are not required, but greatly improve opportunities to recover debt:

  1. Date Last Paid
  2. Amount Last Paid
  3. Original Charge
  4. Amount of Payment
  5. Other Information
  6. Account in Dispute? (Y or N)
  7. Payment Method
  8. Guarantor Driver License No.
  9. Spouse SSN
  10. Spouse Name
  11. Insurance Company Name
  12. Insurance Policy Number
  13. Insurance Company Address
  14. Insurance Company City
  15. Insurance Company State
  16. Insurance Company Zip
  17. Insurance Company Phone #
  18. Referring Physician

The following fields are not required, but they are also helpful items, and SARMA will use them:

  1. Nearest Relative Phone No.
  2. Nearest Relative Name
  3. Other Address 1
  4. Other Address 2
  5. Other City
  6. Other State
  7. Other Zip
  8. Interest Charges

Home | Become an SCI Client | News @ SCI | Careers @ SCI | Contact SCI

SCI is fully bonded and carries professional and general liability, workers compensation, automobile, and errors & omissions coverage. SCI is a wholly owned subsidiary of SARMA

SCI is located at 1801 Broadway, San Antonio, TX 78215, 1-800-460-4808