<prompt> Human: Here is a link to the Letter. The letter came on the Hospitals letterhead, and the ink signed at the bottom seemed like real ink I could see where it embossed the back of the paper from pressing down a bit and I could smell the ink.Before I called the number at the bottom, I wanted to ensure this was a real thing, and not a scam. I have never had to prepay for any services that were rendered on me nor my SO while on this insurance plan.Additionally, from a form I received from the hospitals financial office early on, it said that my total outlay for the entire pregnancy would be 1500.00. Not sure why they are now only requiring 500.00Has anyone else received a similar letter from their hospital? Thanks for your input.  <response>: Why wouldnt you just call the hospitals billing department before you start analyzing the papers composition... 