Abstract: This invention concerns a letter communication method for a healthcare provider to effectively expedite reimbursement process from a patient. The letter communication method comprises gathering a current information, categorizing the patient into a group, processing the current information, generating a processed information, producing the letter, sending the letter to the patient, and updating the current information of the patient. The various steps of the letter communication method can be repeated. The letter communication method further comprises identifying a payment method chosen by the patient, calculating a past due period, and generating the letter according to a pre-defined formula, the pre-defined formula having at least the payment method and the past due period as variables. The letter generated by the letter communication method informs the patient the current information and a future action of the healthcare provider at a future date.

Abstract: A folding ramp for attachment to the rear bumper and tailgate of a pickup truck. The ramp is formed by a pair of hingedly connected ramp panels of substantially equal overall dimension. One panel is slidably connected with the pickup truck tailgate in a manner to fold and unfold both panels from a loading to a stored position by vertical movement of the pickup tailgate. Legs support the ramp panels at their hinged position when loading and unloading wheeled vehicles, such as garden tractors, etc.