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Unfortunately, the next step is to sue the estate for the outstanding balance due. The personal care records do not enter into that one way or another, so you need not be concerned with that. Although, you likely will have to turn over the records to her. (I don't know what state you are in so I can't say for sure, but most states have laws that provide that patient's or their estate's representative are entitled to copies of such records. Usually you can charge for the cost of prodducing the reords.)
The critical issue for you is to file your written claim against the Estate and initiate litigation before the estate is liquidated.
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