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Once you have paid a debt, there is no longer technically a debt to dispute.
When you disputed, what was the asserted inaccuracy that formed the basis for their required investigation, and what did the Notice of Results provide as the outcome?
As for the medical collections, have you exhausted the possibility of the debt being paid by the insuror?
If you obtain payment by the insuror, the new CRA policy as set forth in their National Consumer Assistance Plan will provide deletion.
Having paid the debt does not provide a basis for disputing the accuracy of continued inclusion of the collection in your credit report.
What was the asserted inaccuracy that formed the basis for your dispute?
Collections, whether paid or unpaid, have the same credit report exclusion date of no later than 7 years plus 180 days from the date of your first delinquency on the OC account ("DOFD").
Paying did not affect when the collection will become excluded.
The CRAs rountinely exclude at approx. 7 years from the DOFD.
Having collections on my report didn't keep me from getting a CLI from synchrony, Amex or Discover...nor did it stop Amex, Chase and PenFed from giving me new CCs...