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Medical collection advice

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pbtxlady
Established Member

Medical collection advice

I have a medical collection posted in July 2021, for ~$1100, reporting to all 3 (removed by Exp). I was unaware of this collection until mid-2022, when I happened to check my credit reports. I did not recall ever receiving a bill. I certainly was never contacted by a CA about it.

 

I did go to the hospital in 2021. I am covered by Medicare, so my only responsibility is my deductible. They are in-network with my provider, so they are restricted by federal law from balance-billing anything my provider declines. In any case, I supplied the correct billing info.  Everyone else at the hospital got paid. Everything that I knew about was covered, so I was pretty shocked to see a collection. 

 

Apparently I did get a bill. It would've arrived in the middle of Texas's infamous weeklong power grid near-failure, which would explain why I don't remember it (I was busy trying to stay warm and fed). It says that their claim was denied because no record of account was found. It doesn't even say what service they were billing for. However, they had access to that information, just like all the other providers who did get paid. That one bill is the only record. They made no other contact. Apparently, instead of double-checking their own mistake, they just blithely, 14 days later (!), sent it to a medical CA, who just blithely reported it at the earliest possible date. To this day I have never heard from the CA. Of course, when I learned of the problem, months later, it was too late to re-file the claim.  

 

At the moment I'm not in a position to settle this. Frankly, I don't feel I should have to. The incorrect insurance claim was their own error. They compounded the error by not notifying me it was going to collection, depriving me of the opportunity to help them rectify it. Any suggestions about the possibility of getting it removed? 

Message 1 of 6
5 REPLIES 5
donkort
Valued Contributor

Re: Medical collection advice

I'm wondering if this might help:

How to Dispute Medical Collections on Your Credit Report? (creditfixed.com).

 

It seems like an error has been made, and that it should be rectified.  People have enough problems with credit already!

 

I would head to the hospital's billing department, and tell them your situation.  Always stay calm.  Never show your irritation.  And make sure, should they confirm the error, that they put the fact of the error in writing.  You need this as "evidence."

 

I might also give a call to Medicare, and tell them what you wrote to us.   See what they say.  They might offer good advice.

 

Going through these steps might enable you to get good evidence so that you will be armed when and if you dispute the collection.  

FICO 8: EQ 810; TU 816; EX 822 as of 7/5/2022
Message 2 of 6
Lurker22
Frequent Contributor

Re: Medical collection advice

2 years ago I ended up in the hospital for 4 days, everyone except the medical practice billed in a timely manner (with insurance and myself)...the medical practice (Doctor) billed insurance timely but waited 13 months to send me a bill for my portion, I wrote them a letter explaining their bill wasn't considered timely and therefore the "claim" was being denied and I would not pay, never heard another peep from them - assuming they wrote it off, I can't remember the exact $$ but it didn't break 4 figures - don't think it was very much (looking at the bill they had my street messed up but everyone else had it correct, I'm assuming they sent bills out but again - not my problem, I didn't receive it)....you could try that angle, might work

Message 3 of 6
pbtxlady
Established Member

Re: Medical collection advice


@Lurker22 wrote:

2 years ago I ended up in the hospital for 4 days, everyone except the medical practice billed in a timely manner (with insurance and myself)...the medical practice (Doctor) billed insurance timely but waited 13 months to send me a bill for my portion, I wrote them a letter explaining their bill wasn't considered timely and therefore the "claim" was being denied and I would not pay, never heard another peep from them - assuming they wrote it off, I can't remember the exact $$ but it didn't break 4 figures - don't think it was very much (looking at the bill they had my street messed up but everyone else had it correct, I'm assuming they sent bills out but again - not my problem, I didn't receive it)....you could try that angle, might work


Interesting. In Texas  they have 11 months to bill, and after that period they have no legal recourse. If you're in TX, that may be why your letter worked. I wonder how often that happens.

 

I was thinking of pursuing that angle myself, but I guess I did get a bill. It wasn't itemized or descriptive of services, but probably enough to satisfy the legal requirement. They just sent the one notice, immediately sold it off, and got it posted on my CR at the earliest possible date. Not certain, but I think the new med collection laws require them 1) to notify you and 2) to wait a year before it's posted. 

Message 4 of 6
pbtxlady
Established Member

Re: Medical collection advice


@donkort wrote:

I'm wondering if this might help:

How to Dispute Medical Collections on Your Credit Report? (creditfixed.com).

 

It seems like an error has been made, and that it should be rectified.  People have enough problems with credit already!

 

My thoughts exactly. You know, when Medicare is the provider, and they know they will get paid, and they know it won't be honored after a year, it sure seems like they would make a little effort to get correct information. By not notifying me, they ensured they won't get paid, and I have a derogatory for no good reason. 

 

I would head to the hospital's billing department, and tell them your situation.  Always stay calm.  Never show your irritation.  And make sure, should they confirm the error, that they put the fact of the error in writing.  You need this as "evidence."

 

I guess I'm really wondering how to do this without acknowledging the debt. After all, they have never sent a bill that described the services provided, and I do not know for certain who they are. The bill I found months later has a different name than they listed on the collection as the OC. I know I could ask for DV, but I'm concerned they would then "affirm" the collection to the bureaus, and I'd take a new score hit? 

 

I might also give a call to Medicare, and tell them what you wrote to us.   See what they say.  They might offer good advice.

 

Good idea. They may be able to refer me to someone who specializes in cases like these. Thank you. 

 

 

Message 5 of 6
Lurker22
Frequent Contributor

Re: Medical collection advice


@pbtxlady wrote:

@Lurker22 wrote:

2 years ago I ended up in the hospital for 4 days, everyone except the medical practice billed in a timely manner (with insurance and myself)...the medical practice (Doctor) billed insurance timely but waited 13 months to send me a bill for my portion, I wrote them a letter explaining their bill wasn't considered timely and therefore the "claim" was being denied and I would not pay, never heard another peep from them - assuming they wrote it off, I can't remember the exact $$ but it didn't break 4 figures - don't think it was very much (looking at the bill they had my street messed up but everyone else had it correct, I'm assuming they sent bills out but again - not my problem, I didn't receive it)....you could try that angle, might work


Interesting. In Texas  they have 11 months to bill, and after that period they have no legal recourse. If you're in TX, that may be why your letter worked. I wonder how often that happens.

 

I was thinking of pursuing that angle myself, but I guess I did get a bill. It wasn't itemized or descriptive of services, but probably enough to satisfy the legal requirement. They just sent the one notice, immediately sold it off, and got it posted on my CR at the earliest possible date. Not certain, but I think the new med collection laws require them 1) to notify you and 2) to wait a year before it's posted. 


Hmm, interesting twist, I'm in ATL but my insurance is BCBSTX but I believe BCBS's requirement is 12 months - maybe I guess they follow TX State Law and have it at 11 and honestly not sure if GA or TX law would apply....but either way you shoudl consider giving it a shot - they can claim it was a bill but I'd counter with "it's a statement not an invoice and didn't have the needed detail in order to determine if payment was required"

Message 6 of 6
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