If you decide to reject the settlement offer, you'll need to do so in writing. Do not accept any settlement until you've recovered from your injuries or reached maximum medical improvement and know your future medical costs.Victims who want to respond to a low settlement demand offer must use factual information, persuasive arguments, and a professional tone. This is a sample letter seeking a reduction in a medical lien. How To Draft a Persuasive Debt Settlement Letter. Note that the Social Security Number field was eliminated from the accident report, application, and settlement contract. When you use medical services, you or your provider file a claim to your health plan. Settlement offer in the medical malpractice case. A reasonable settlement demand offer.