EstateCreditorMedicalServicesFrankRK.pdf

alessandrakurchinski 7 views 4 slides Sep 09, 2025
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About This Presentation

How a $173 Bill Turned Into Over $170,000 in Probate Cost.

When my husband passed away, I expected grief and loss—but not financial devastation. What began as a creditor claim of only $173.98 in unpaid medical expenses escalated into more than $170,000 in probate costs.

This case reveals a serio...


Slide Content

I-'ilin-r # 163577tr7S E-Filed 1212212022 *2:54:01 PM
CIRCUIT COURT, PNNEIIAS GSUNTY, FLORIDJ\
'
PRQBATE DIVI$ION
cASE NO.l2-010189-ES
IN RE: EETATH OF
Eec*ased
STATEMENTOF CLAIM
The undersign*d hereby presents for filing against the above-narned estate thi$ staternent of elaim and alleges:
1. The hasis fcr the claim is:
Smbula,rt$s"S$rvice,
22.-25&V1ilfr Vf25t22
2. The seQia$ security or tax identlfieatien srunnber of ttle c0airnant is: 5$-6CI0080e. and the nanne and address of the clain
is: Finellgs ecusttY ErnProenev Medieat ServicPs Authoritv {d.b.a. gunstar Paramedicsl
clo Jason C" Ester. Esq,,5 Court St. 6th Floor. Clearwater. FL 33756.
For more call 727 -464-3354.
3. The amount of the claim is:
4. The claim is not contingent.
5. The claim is not seeured.
173
gS
which arnount is now due and owing
Under pcnalties of periury, I declare that I have read the foregoing and the facts alleged are true, to the best of my knowledge
and belief.
Eated thls ?1" day of Dggsmbpr,2A22
nttorngf
fi
FBhl :.1 E&E lsFN : q&9516&
Jason C. Estcr, ts.C.$
Senlor A,ssistant eounty Attorney
315 Court Strcet, 6$t Floor
elearwater, FL 33756
(727)-4S4-3354
iester@pif ellascounty.orq
easrvice@,?inqlf ascqunty, qra
Signature of Claimant
Copy mailed to attorney for the Personal
Representative on
CLERK CIF THtr CIRCUIT COURT
by:
ww**
Cflairnant
MUST BE FILED
'N
DUPLICATE
FRANKilN ft K"WSFTIN Kt
,2

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!
Fusmd
Lalt Nane:
FirstNere:
S5N:
008:
tvl,t:
$er:
fien,:
l,l,iL, Y
il U*E i*Approxir*ated
Appror&ateAge
T,&fiFfiI'I $PHI}{fi$
\
ilfasitlty: <Hsne)
Firddurir:r
&ddress:
Aptl5teiHrn:
Iity.
Phsne:
? t.trqt1rl
J+*rlI
,&Se, 6$$'ears
;E lr,lll
rL -,1 |..LIt( ,illv
lFsSUFiAtSE nfiffHE
I
LI
Hun ff $tetus I P : f,redits Balan*e
L"lrf
ll7
/jE,/:l,li"i"
ff?EErX ilfiFIT.JELL&S IffUF,ITY EfuI5 [}/EIA SUf\ISTAR E ille,JEillPatient .31?.45$1.138.47 73.98
):r .,.. r,-*.-.
m
ilg}r* canceled kips
f Showgeto balance hiBs
LJ Show Juture hips
Total Eharges: $1.31?.45
Total Eredits: $1.1 3S.47
TotalBalance: $173.98
Trip lrquiry for KURCHIF*SKI FRANKLIN
i

EMERGENCY MEDICAL sERVICES
12490 Ulmerton Road
Largo, Florida33774
Run Number:
lnvoice Date:
Date of Transport:
22-2587100
09102t2022
07t25t2022
Tax lD:
596000800
NPI:
1679520571
Fttl+
tEfi
FRANKLIN R KURCHINSKI
969 SUNRISE DRIVHE
TARPON SPRINGS FL 34689
Patient Name: FRANKLIN R KURCHINSKI
FTom : I\4EASE COUNTRYSIDE HoSPITAL
TOI I\4ORTON PLANT HOSPITAL
000391
The ai'noui-rt indicated on this inr.'oice is the por"tion ycu are responsible for" relateC to this clairn. piease pay
in full or contact our office to arrange a payment schedule.
ChargeCode Description Payer Quantity Unit Price Payment Date Amount
40434
40425
CCT Base Rate
lvlileage per Loaded lr/ile
Payment - Check 65671
Payment - Check 65671
IVEDICARE PART B
MEDICARE PART B
'1.0
1 1.8
s113533
s177 12
08t29t2022
08129t2022
$762.84
$e3.1 3
($607.7e)
($74.20)
PLEASE PAY AMOUNT:
$173.98
Sunstar will file a claim with applicable insurance carriers on behalf of our customers.
Any repaining balance not covered by insurance is the responsibility of the customer.
***
DETACH THIS PORTION AND RETTIRN W]TH YOUR PAYMENT. THANK YOU.
X'!*
FOR YOUR SECURITY CREDIT CARD PAYMENTS ARE NO LONGER ACCEPTED BY MAIL.
Credit card convenience fee - ALL credit card payments will be charged a minimum convenience fee of
g2.50 for each increment up to g100.00 paid.
Online payments for ambulance service are available at-http://www.pinellascounty.org/publicsafety/ambulance_billing.htm
or by calling our office at (721582-2009
PATIENT NAME
FRANKLIN R KURCHINSKI
INVOICE DATE
0910212022
AT/OUNT DUE
$173.98
RUN NUMBER
22-2587100
DATE OF TRANSPORT
07t25t2022
PLEASE PAY BY
10t02t2022
AMOUNT INCLOSED $
FRANKLIN R KURCHINSKI
969 SUNRISE DRIVHE
TARPON SPRINGS, FL 34689
MAKE CHECKS PAYABLE TO:
SUNSTAR EMS
PO BOX 3'1074
TAI\4PA, FL 33631-3074
communications concernjnq di.sPuted gebts and inst:ruments tendered as full Fqtiqfaction of a disputed debt should be sent to the
followinq desionated address: SunstarAttn: A-aoiltinq credittontrol 12490 Ulmerton Road. Larqo. Flotida33774
**
Interested in minimizing future expenses?
**
Join the Sunstar FirstCare Membership plan.
For [Vlore information contact our office or visit
www. pi ne I I ascou nty. org/fi rstcare
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