medical bill question

[clpoag]

in my investigation of outstanding collections I have come across a medical bill from Patient First.  Receivables Management Systems is the CA for the account and they indicated on my credit report that I owe $253.93; however, they can only produce a bill from Patient First for $148.98. Basically, it looks like RMS is charging me $104.95 in interest and collections fees.  If I pay the OC (they have already confirmed they will accept my payment on the account for the original amount owed) what happens to the CAs charges and fees?  Am I still responsible for paying them even though the debt has been settled with the OC?  I don't want to pay $104.95 to RMS when they have never sent me any communications regarding this debt (verified that they have my current mailing address).

[DaBears]

Pay the OC!!!!! If the CA can't verify or doesn't know who the OC is they must delete their TL. They can not verify with another CA. 

[clpoag]

Thanks! I am going to pay the $149 via check to Patient First - that will satisfy what I owe them and hopefully remove the reason for the CA.  *fingers crossed* this is the biggest medical collection on my record and I was dreading putting out the $254. 

[DaBears]

Ask the OC to pull back the collection from the CA and once you pay the CA must delete their TL.