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Hospital Bill Debt A4V Process β Eliminate Medical Debt with Contract Law
The hospital bill debt A4V process is a powerful legal strategy to eliminate or discharge medical debt. Using tools such as Acceptance for Value (A4V), Affidavits of Negative Averment, and principles of contract law, individuals have successfully challenged hospital invoices and medical collection attempts.
Accepted for Value (A4V) is a private administrative remedy used to challenge and discharge hospital debt through lawful contract-based procedures. This page walks you through the method and showcases real documents submitted and recorded as part of the process.
What Is the A4V Hospital Bill Process?
- Based on UCC, contract law, and set-off principles
- Uses documents like Acceptance for Value, Affidavit of Negative Averment, and Proof of Service
- Often includes UCC filings, notary support, and tracking
- Can prevent collection actions and create lawful disputes
Documented Example: Hospital Bill Debt Success

This image shows a real case where an A4V process was used to dispute a hospital bill successfully. Multiple documents were recorded, creating a lawful record of non-consent to the debt.
Key Documents Used in the Process
Here are just a few of the documents that were sent and recorded as part of the A4V Hospital Debt Remedy:
1. A4V Hospital Bill Template

This letter accepts the hospital bill for value and returns it for discharge under the UCC.
2. Affidavit of Negative Averment

Used to state under penalty of perjury that no valid contract exists or debt is owed unless rebutted point-by-point.
3. Certificate of Service

Proof that the documents were delivered to all necessary parties, creating a lawful paper trail.
Want Help Using the A4V Process?
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