HACKER Q&A
📣 altdataseller

Not Paying a Medical Bill?


I got billed by a medical facility for providing services that I literally never got on a certain date this year. The last time I visited them was years ago.

They never billed my insurance provider (it seems they never got my new info), so i can’t dispute through them.

After talking with them on the phone, they just tell me they are sure they billed the right person. And insist i pay.

Anyone had this situation before? What would you do? If this was just a trivial $20 bill I would pay it but it is hundreds.


  👤 codefreeordie Accepted Answer ✓
[This answer assumes that you are in the US. I have no idea what the laws are outside the US. I'm not a lawyer, I'm not representing you, and this is not legal advice.]

Assuming it is for "hundreds" (and not thousands/tens of thousands), if you don't pay this is what is likely to happen (if it were a lot of money, the facility might file suit against you. They aren't gonna for hundreds):

First, you might get lots of copies of the bill. (You also might not). Then you'll get a letter about them going to collections. Then you'll probably never hear from them or anyone again (maybe one letter asking you to pay), but your credit report will show an unpaid collection. If you previously had perfect credit, your credit score will fall considerably*. After seven years, it will fall off your report, and after that nobody will ever mention it again.

If you seek service at the facility again, it is quite possible that they will require you to pay the bill before agreeing to serve you again, and they might also require payment for the new service upfront.

*medical billing is so bad that the various credit-scoring programs have all been tweaking their rules for medical collections over the past few years, and they keep threatening to just stop counting medical collections toward credit scores. One of the major credit scorers, for example, now ignores all medical debt less than a year old and less than $2500 in amount, on the grounds that it is generally impossible for a patient to effectively dispute even obviously-incorrect bills until after they appear on a credit report (at which point the laws governing credit-reporting grant the consumer more effective ability to dispute), and therefore recent/small medical collections are not a useful predictor of whether a consumer will pay their other (more likely to be legitimate) debts.


👤 mikece
Usually if you demand proof/documentation of service be mailed to you -- and you can document this request -- that will stand up later if they sue you or take you to collections. If they do respond via mail with a bogus bill documentation now they are looking at mail fraud which is a federal issue.

👤 dekhn
https://www.nytimes.com/2022/06/30/well/live/surprise-medica... has a lot of good advice on the disputation process.

They (the medical facility) need to go back and work with your insurance provider on this one ("it seems they never got my new info" is not an excuse). Contact your insurance provider to give them a head's up.


👤 codegeek
1. Do not pay 2. Send a registered letter to that facility confirming you never received that service on the date and ask them in writing to correct this error

It may go away. If not, no worries.

It may go to collection but don't panic. When you get a collection letter, send them a letter as well confirming that this is not your debt and ask for validation of the debt in writing.

Do not give any info to collection agencies except written letter of it comes to that


👤 csomar
For hundreds, my guess is, someone used your identity. (unless they are doing it for thousands of people, which then will become a noticeable problem shortly).

I think you need to take this more seriously, at least until you cross the identity theft. Someone out-there could be impersonating you and he might do it again.


👤 aurizon
Hard to assess, someone submitted your info to cover their expense - this can happen if a hack exposes diverse accounts and someone has obtained a freebie by using your data to bypass being invoiced. They might have billed an old provider who gave them your current address. One thing is sure, they will not want even a sniff of a hack, ask them for details as you need them to submit an FBI hack report about this serious matter.

👤 t-3
If you're in the US, I wouldn't worry unless they try to sue you over it (in which case just show up to court and the judge will send them packing). They are very limited in recourse for even legitimate bills.

👤 stop50
Calling the facility hasn't helped yet?

👤 PaulHoule
Thanks to HIPPA it is illegal to tell you what a medical bill is for because that violates your privacy.