Product: Debt collection

Medical Business Bureau ( MBB ) Reference Number : XXXX XXXX  Account Number : XXXX Date of Service : XX/XX/2021 Insurance Policy Number : XXXX XXXX XXXX XXXX XXXX XXXX XXXX ) XXXX ( The MBB Collection letter states disputes are taken electronically at mbb.net but this functionality is not accessible. ) I am writing in response to recent communication regarding alleged debt owed to the Illinois XXXX XXXX  XXXX XXXX ( XXXX ) for services rendered on XX/XX/2021. I want to bring to your attention the matter of the repeated billing for the same date of service despite the clear and documented disallowance of the claim by the XXXX XXXX XXXX XXXX ( XXXX ). I have attached copies of five separate XXXX Explanation of Benefits ( EOB ) documents, each of which unequivocally details the disallowance of the claim and absolves me of the alleged financial responsibility. 

Furthermore, I must express my deep disappointment in the tactics employed by XXXX during the fifth submission attempt. I was coerced into making an erroneous payment of {$19.00} for a claim that had already been settled and disallowed by XXXX. This was in addition to the amount of {$14.00} I had already been billed for this date of service in 2021. This misleading action is unacceptable and displays a lack of integrity on the part of XXXX. 

It is evident from these EOBs that XXXX has consistently disallowed the claim for the aforementioned medical service. As such, it is highly inappropriate and in violation of ethical practices to attempt to bill me multiple times for the same service after the insurance provider has deemed the patient not responsible for the charges. The repeated submission of the same claim not only disregards the factual evidence but also creates unnecessary stress and inconvenience for both parties involved. 

In accordance with the No Surprises Act, I want to reiterate that I am not responsible for any additional payment beyond what has already been determined by my insurance provider, XXXX. This law prohibits providers and collection agencies from attempting to collect amounts that are not part of the patient 's responsibility as outlined by the insurance provider. 
I hereby demand that : 1. The alleged debt be immediately removed from any further collection efforts and not be submitted to any credit reporting agencies, as it has been conclusively resolved by XXXX 's disallowance and my non-responsibility. 
2. An immediate refund of the {$19.00}, and {$14.00} already paid be processed and returned to me within 15 business days from the date of this letter.

3. As compensation for the emotional distress, harassment, and inconvenience caused by the repeated billing attempts and erroneous payment request, I am demanding a settlement of {$1000.00}. 

Failure to comply with the No Surprises Act and my demands may lead to legal action to protect my rights and ensure that my experience with this situation is rectified appropriately. 

I believe that the evidence I have provided is clear and sufficient to address this matter conclusively. I expect that you will take the necessary actions to rectify this situation and ensure that my rights as a consumer are respected moving forward. Please consider this correspondence as a final attempt to resolve this issue amicably. 
Thank you for your prompt attention to this matter. I anticipate a timely response that acknowledges the resolution of the matter at hand. 
Sincerely, XXXX XXXX XXXX XXXX XXXX XXXX XXXX XXXX XXXX, IL XXXX ( XXXX ) XXXX XXXX XXXX