• Correct amount paid for this claim: $0.00 • Patient responsibility (what you owe) for this claim: $0.00 Mail your payment and this letter to: GREENSBORO SMALL GROUP P 0 BOX 740800 ATLANTA. GA 30374-0800 We suggest you keep a copy for,. r cords. If we do not get the refund. some state laws may allow us to dedu