If the CA had purchased the debts it makes your negotiating position stronger. I would stop calling the CA and communicate in writing, first with the hospital. Refer them to the task force report I referenced above and ask them if they would be willing to request that the collector delete the items once you've paid. Basically sweet talk them and try to get them on your side. Once you have their support, then go to the CA, and refer them to the task force report, ask if they are part of ACA International and are aware of the specifics of the report and its recommended "best practice" of deferring to the provider for deletion: See it here
