I had a $50 medical account from Credit Management Company show up on my report for a copay from an xray. I didn't receive a bill so I called the hospital to see if I could pay them directly. She said yes but they would just let the collection company know it was paid. I paid it to her over the phone. A month later it reported as closed and paid. One week later it was removed from my credit reports. I didn't make any contact with the CA but just wanted to let everyone know that they remove in case anyone has any collections from them.