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Medical billing and debt collection in the US

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  • Medical billing and debt collection in the US

    Some of you may recall that my son had surgery on a vacation in the US. For some months thereafter we dealt with the invoices from about a dozen different service providers with our insurers and everything presented got paid. We were surprised at the number of different providers in a single hospital system but it went ok.

    Then . . approximately 15 months after the service was provided, we get another bill from a collection agency for the emergency room doctors. We had never seen an invoice from them (still have not ) and with so many different providers billing us for a stay in one hospital system, we never thought about who might have been missed. Being a "nice guy" I called their number. The first guy I talked with was great, commiserated that its sort of stupid that they chase us a year later when my insurers say they will pay only bills tendered inside a year but that I need to call their international guy (based in Florida)-- he transfers me but no answer and no message machine. So I forget about the whole thing.

    Now about 4 months later -- I get another collection notice from them. Again I call and this time get put on to the international guy. He admits they face this all the time as the particular doctors group's systems cannot handle Canadian addresses and had sent the invoices to Blue Cross in the US and its only when it ws old enough to get sent to their collection agency that they actually straighten it out . In any event he wanted some insurance particulars. I told him I was more than happy to help but I had to dig that stuff out since I don't keep details about travel insurance for trips 18 months ago close at hand and wished him well in collecting since I had two insurance policies with duplicative coverages and certainly didn't intend to pay it myself---

    WELL--that certainly changed the call-- Abruptly he launched into what seemed to be a script about my "refusal to pay" and the dire consequences to me including passing references to criminal law, lawsuits and credit rating. I was actually a little amused by his content and tone. There were bits about the fact that they had no obligation to bill an insurer as it was my obligation to pay (interesting and amusing since I have to this day not seen the actual bill in question, only the debt collectors bill thing SINCE THEY SENT THE INVOICE TO THE INSURER BUT THE WRONG ONE) and even a sentence that mentioned my moral obligation to pay. I believe the tone and content was designed to intimidate me into paying.

    I interjected a very little about

    1. the absurdity that they would chase me for 711 dollars in any practical way
    2. somewhat scoffing at them threatening my credit rating ( I think I told them I don't need credit)
    .. . but the concluding sentence of his script was essentially that given my "refusal to pay" that concluded our business . So in a short period we went from the idea that I would confirm insurance particulars so they could try to get paid that way--( and I would have dug out the particulars ) to it seems the idea that they will ignore the insurance and chase me somehow. I thought the script would have given me a chance to whip out my credit card and pay immediately or something but maybe they find it more effective to threaten a little and then abruptly conclude things so that their ominous powers can start to cause me to worry and fret and then pay them

    I will be interested to see what form if any this takes. I have no US assets and would find it hilarious if they retained someone in Alberta to chase me over 711 dollars. I just don't see the point for them. They are far more likely to get an insurer to waive their within one year requirement than they are to get me to cough up the money-- Did I mention I had TWO insurance policies LOL??


    Anyone know what happens next? Perhaps I am not taking this whole thing serious enough. I would help them out but when he tried to get all collectiony I just cannot be anything other than amused since I generally see them as pretty impotent as against someone that doesn't feel threatened.
    You don't get to 300 losses without being a pretty exceptional goaltender.-- Ben Kenobi speaking of Roberto Luongo

  • #2
    If you send them a letter saying "stop contacting me" then they're required by law to stop contacting you. (Obviously this doesn't work on the original biller, but it will work on any and all US-based collection agencies)

    After they receive the letter they are allowed to send you one final notice. If they do anything else then you can report them to the federal trade commission.
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    • #3
      Next time you go to the US. Bam! This way sir.....
      One day Canada will rule the world, and then we'll all be sorry.

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      • #4
        I checked around online for a sample "stop contacting me" letter, and discovered that they're also required to give you written notice within five days of contacting you as to who the original creditor was and how much you owe. If they've failed to do this then report them to the federal trade commission.
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        • #5
          This sounds like a scam.
          Once you start down the dark path, forever will it dominate your destiny, consume you it will, as it did Obi Wan's apprentice.

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          • #6
            IT's all a numbers game. There are quite a few people out there that will buckle under after the first threat. (which is the main reason that it's high on the "respond with this line" option in their script. They're getting a straight percentage regardless of the amount of effort they put into it. So the second they think they're not going to get anything, they whip the threats out and pray you're one of those that will be frightened enough to just pay. There have been documented cases where people paid even when they really didn't owe anything.
            It's almost as if all his overconfident, absolutist assertions were spoonfed to him by a trusted website or subreddit. Sheeple
            RIP Tony Bogey & Baron O

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            • #7
              The one who called me over a student loan was much nicer (also not my fault as the student loan people had the wrong name on the loan). I still stopped talking to them as soon as possible.

              JM
              Jon Miller-
              I AM.CANADIAN
              GENERATION 35: The first time you see this, copy it into your sig on any forum and add 1 to the generation. Social experiment.

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              • #8
                Every collection person might have a different style that they think works best for them. There is rarely any upside to talking with them.
                It's almost as if all his overconfident, absolutist assertions were spoonfed to him by a trusted website or subreddit. Sheeple
                RIP Tony Bogey & Baron O

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                • #9
                  We had never seen an invoice from them (still have not )
                  Tell them to go to Hell.
                  I make no bones about my moral support for [terrorist] organizations. - chegitz guevara
                  For those who aspire to live in a high cost, high tax, big government place, our nation and the world offers plenty of options. Vermont, Canada and Venezuela all offer you the opportunity to live in the socialist, big government paradise you long for. –Senator Rubio

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                  • #10
                    This is like when the hospital billed my insurance, workman's comp, AND sent me a bill for the full amount for the 'treatment'* of a minor work place injury.

                    *treatment consisted of applying liquid bandage to cuts and confirming I had not suffered a concussion.
                    "Flutie was better than Kelly, Elway, Esiason and Cunningham." - Ben Kenobi
                    "I have nothing against Wilson, but he's nowhere near the same calibre of QB as Flutie. Flutie threw for 5k+ yards in the CFL." -Ben Kenobi

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                    • #11
                      Originally posted by Dauphin View Post
                      Next time you go to the US. Bam! This way sir.....
                      and then where?? Debtors prison LOL???
                      You don't get to 300 losses without being a pretty exceptional goaltender.-- Ben Kenobi speaking of Roberto Luongo

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                      • #12
                        What are we waiting for to imitate this system's efficiency?
                        In Soviet Russia, Fake borises YOU.

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                        • #13
                          Originally posted by Garth Vader View Post
                          This sounds like a scam.
                          I don't think so- We saw no invoice for the emerg docs and upon reflection we seemed to see an invoice for each and every other actual doctor that attended him so a bill from the emerg docs makes sense
                          You don't get to 300 losses without being a pretty exceptional goaltender.-- Ben Kenobi speaking of Roberto Luongo

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                          • #14
                            Originally posted by rah View Post
                            IT's all a numbers game. There are quite a few people out there that will buckle under after the first threat. (which is the main reason that it's high on the "respond with this line" option in their script. They're getting a straight percentage regardless of the amount of effort they put into it. So the second they think they're not going to get anything, they whip the threats out and pray you're one of those that will be frightened enough to just pay. There have been documented cases where people paid even when they really didn't owe anything.
                            THats my thought-- Mrs Flubber is one of the people that used to get concerned about such things but I seem to have changed her views which this time was some version of "screw 'em"--- I figure vague threats work on enough people that they will try that. I am just curious as to what their next step will be
                            You don't get to 300 losses without being a pretty exceptional goaltender.-- Ben Kenobi speaking of Roberto Luongo

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                            • #15
                              Originally posted by loinburger View Post
                              If you send them a letter saying "stop contacting me" then they're required by law to stop contacting you. (Obviously this doesn't work on the original biller, but it will work on any and all US-based collection agencies)

                              After they receive the letter they are allowed to send you one final notice. If they do anything else then you can report them to the federal trade commission.

                              Nah -- That would take effort on my part LOL-- PLus if they complied, I might not get to see their next step-- There has to be a next step after all-- They can write me all they want
                              You don't get to 300 losses without being a pretty exceptional goaltender.-- Ben Kenobi speaking of Roberto Luongo

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