My ex wants me back
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Rip it up and mail the shreds back to them, no note or explanation. Usually that makes them stop.
But how will they know it's from OP?
You leave the part with your name and address on it intact.
This ain't your first rodeo, eh?
Nope. I have children and the hospitals they were born in were under the impression that I owe them money and it is on me to make sure the insurance pays them despite being in network.
Can I borrow your balls for a moment?