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Keep in mind that you are starting a paper trail. HIPAA is for paid medical collections.
The reason for the first dispute: The CRAs are by law suppose to contact the OC not the CA to find out the amount owed. But they never do.
So, I'm a little confused on where to start . . . if they aren't paid and I know they're valid debts, should I just send the balance owed to the OC with restrictive endorsement and then begin the HIPAA process after the funds have cleared?
That is what I would do. But keep in mind that payment will not start a paper trail. Your paper trail starts with the first dispute.
If payment is made before starting the process.....wait untill the checks are cashed and then send the first dispute...handwritten.
If it is not deleted then send the OC letter using the insert (paid)