vania-janet/multiturn-rag-retrieval-data huggingface dataset:
"It's your business to pay what you owe but it's not your business to determine what you owe.  The ""Fair Debt Collections Practices act"" FDCPA proscribes certain steps creditors must go through to contact you.  You appear to not have received any active contact or demand, but you can still cite the FDCPA to make it their problem. Write to the creditor's address (I assume its the hospital, the OP isn't clear), use USPS Certified Mail Return Receipt Requested, asking them to validate that you owe this debt by mail in 5 days, as is your right under the FDCPA.   If they get back to you and you agree (or its reasonably plausible) you do owe it, pay it especially if it's on the order of $100.  At least you will know it is settled at the source.  Cross reference to your insurance claims to be sure its not double billed or a miscredited copay, but you may see many legit separate charges from one ER visit (hospital,  doctor, anesthesiologist,  etc) and it would not be the first time a medical billing system crapped the bed. If you don't hear anything after a few weeks, use the credit report protest process (or write to them, cc: the Federal Trade Commission) contesting the validity of this report.  The creditor did not respond to your FDCPA request for validation (copy of the Return Receipt); and you otherwise believe you are current with the hospital.  Per the Fair Credit Reporting act,  they must investigate.  Fight bureaucratic fire with fire: conduct all business by mail, and make liberal use of certified mail return receipts.  Its a $6 way to telegraph you know that they have specific federal law timeliness requirements; and you have a federal timestamp signed by someone in their organization."
"Two suggestions: I don't know if you have them in South Africa, but here we have some TV reality shows where a credit consultant visits a family that is deeply in debt and advises them on how to get out of it. The advice isn't very sophisticated, but it does show the personal impact on a family and what is likely to happen to them in the future. ""All Maxed Out"" is the name of the one I remember. ""Till Debt Us Do Part"" is another, which focusses on married couples and the stress debt puts on a marriage. If you can find a similar one, loan him a few episodes. Alternatively, how about getting him to a professional debt counsellor?"
IRS Publication 502: Medical expenses are the costs of diagnosis, cure, mitigation, treatment, or prevention of disease, and the costs for   treatments affecting any part or function of the body. Loan interest and fees do not meet this definition.  Your loan interest and fees are a cost of the payment method you chose (a loan), not a cost of medical treatment. The IRS makes clear where loan interest is deductible.  Publication 936 discusses home mortgage interest deductions, and Publication 970 specifically discusses student loan interest deductions. Considering Publication 502's definition of a medical expense, combined with the absence of a publication discussing medical expense loan interest deductions, one must conclude that medical loan interest and fees are not deductible.
Run your credit reports for the 3 major agencies to find out which of them have the debt was reported on and initiate the dispute process with each agency that reports the invalid debt. This will cause the person who put it on the report to either prove that it is valid or remove it from your report. Ignoring debt collector calls is not a good option, regardless of whether the debt is valid. They obviously think the debt is yours so their response is naturally to put it on your credit report. In most cases it is a good idea to respond in writing that it is not your debt. I doubt you have much recourse against the creditor. For one thing they DID try to contact you and you dodged them. That is not their fault. Secondly, it is unlikely you would prevail unless you could prove that they maliciously put false information on your credit or through gross incompetence did so. More likely is that they are mismatching you to a debt from someone with a similar name, or there is an accounting error somewhere. Or possibly you owe the debt and no one ever sent you a bill. It happens with medical bills all the time.
If the hospital is run like hospitals in the US it can take a long time just to determine the bill. The hospital, Emergency room, ER doctors, surgeons, anesthesiologists, X-Ray department, pharmacy and laboratory are considered separate billing centers. It  can take a while to determine the charges for each section. Is there an insurance company involved? When there is one involved it can take weeks or months before the hospital determines what the individual owes. The co-pays, coverages, and limits can be very confusing. In my experience it can take a few months before the final amount is known. You may want to call the hospital to determine the status of the bills.
Hey, I was thinking back to that X-Ray you got done at the hospital, that you said was cheaper than 90% of the population. I am wondering if maybe that hospital wasn't one of the many that qualify for DSH reimbursement payments. What could have happened is that they saw that you are uninsured, and made a decision that they would only charge you for the portion that they didn't think Medicare / Medicaid would reimburse. If that happened, it wouldn't even show up on your credit report, as the hospital is the one that would file a credit claim. Likely, if they have to go through this a lot, they wouldn't even waste time filing a credit claim, they would just go after a reimbursement through Medicare / Medicaid. And thus, to you, it would just look like a very small bill, but in reality it would only represent a smaller portion of the true bill.   I would also wonder, if they do a lot of these, if they aren't also one of the hospitals that article I linked to showed was super-inflating the prices of uninsured in the hopes of getting a larger portion reimbursed.
You should pay no or minor late fees, and the doctor should report your credit positively when you do so. If you both made honest mistakes, they both parties should acknowledge that and be fair, and not defensive. This is not legal advice. But you owe the debt, so you should settle up. I don't think it is fair for you to not pay because they didn't mail you a paper. However I also do not think it is fair for the doctor to run up fees and not remind you of the bill. Finally, you didn't bring up insurance or many other details. Those details can change the answer."
There are a few loan programs that grant exceptions to bankruptcy requirements in the event of extenuating circumstances that can be proven to be outside of your control (i.e. massive medical bills that you used bankruptcy to settle, etc.) however, in order to make the case for this exemption, you would need to make a strong case for your solvency, shown the ability to re-establish your credit reputation since the discharge of your bankruptcy, and would almost certainly have to go through a bank that offers manual underwriting. Additionally, if you are Native American, the HUD-184 program is a great option for your situation as it allows for a wide latitude in terms of underwriter discretion and is always manually underwritten as there is no automated underwriting system developed for the loan program. There are several great lenders that offer nationwide financing (as long as you're in a HUD-184 eligible area) and would be a great potential solution if you meet the qualifying parameter of being Native American.
"Just like Pete, for me, a simple budget is good. My budget is probably more complicated than some, but for medical expenses, I only have one budget item titled ""Medical.""  However, if you've already been breaking it out further than that, and you are happy with it, there is no need to change now.  Something you can do is to separate your budget categories from your money accounts. Here's what I mean: let's say that last year at this time, before the FSA, you had $500 total allocated to your various medical budget categories. This year, you can do the same. The only difference is that $300 of that just happens to be in your FSA, and $200 is in whatever account you kept your medical money in last year. Then when you have your next medical expense, you'll subtract it from one of your medical budget categories (which tells you how much you have left to spend on medical expenses), and you'll also subtract it from whichever account you actually spent the money (so you know your current account balances). You'll want to spend your FSA money first, since it's use-it-or-lose-it. If that seems like a lot of work, a good budgeting software program, such as YNAB, EveryDollar, or Mvelopes, will do most of the accounting for you, separating your budget category balances from your bank balances. They allow you to split up your money without having to worry about which account you are paying from."
Moody's came out with an analysis today saying the requirement could be slightly good for for-profit hospitals (Bad-debt charges will decline. The expansion of healthcare coverage under the law will lessen for-profit hospital operators’ exposure to bad debts, which in turn will improve margins and cash flow. However, we expect that the growth rate of Medicare reimbursements will also slow down, offsetting the benefit of lower bad-debt expense and making the overall credit impact of the ruling neutral to slightly positive), negative for pharmaceutical cos. (Pharmaceutical companies will continue to pay for the full adoption of the Affordable Care Act in the form of higher rebates to the government for Medicaid drug costs, discounts to seniors covered under Medicare Part D drug plans and a new industry fee) and slightly negative for medical device firms (Beginning Jan. 1, 2013, US medical-device product sales will be subject to a 2.3% excise tax; the excise tax will be tax-deductible, resulting in an estimated effective tax rate of 1.5% on US device revenues).
You should not pay down the debt in collections until you have a reasonable amount of money to offer as a settlement. The exception is the traffic fines -- you may have legal liability for not paying them.
"Is there any way out from letting the money disappear into a black hole? But that is the whole point of insurance; the ""black hole"" = the insurance company.  That's how they stay in business.  You are giving up your money to them, but you get something in return:  a guarantee of financial rescue if something happens to you medically.  Considering how much health care costs can cost in the U.S., this is not insubstantial. To the degree that you might be able to divert some of that money out of the ""black hole"" and back into your pocket, or a charity, would be equivalent to reducing your premium costs.  There are few ways to do that, but none too significantly.  E.g., sometimes plans have health programs that customers can participate in and get a small discount, etc.  But for the most part, you are stuck.  Welcome to the U.S. Health Care System. One tiny tip:  see if your school offers a free flu shot this fall; many do, it seems, so there is $15 saved.  The school's human resources office would probably know about this."
"check the DATE OF SERVICE on all your invoices carefully.  It's possible you actually DID pay already. Sometimes when a medical provider gets ""mostly"" paid by a third party insurer, they just drop the (small) remainder, as it's more cost than it's worth if it is a trivial amount.  Alternatively, they wait until you show up for another office visit, and ""ding"" you then!"
"Is it common in the US not to pay medical bills? Or do I misunderstood what had been said? I would feel comfortable saying that most people who face medical bills don't pay them. They are unable. If they were able, they would have gotten medical insurance. In America, something like 55% of individuals do not have even $500 of savings, so when a big medical bill rolls in especially on top of lost work hours, they don't have a lot of options. Hospitals charge reasonable prices to insurance companies and Medicare. These fees are negotiated in advance and reflect the hospital's actual costs. This is called ""usual, reasonable and customary"". Hospitals charge a wildly inflated, criminally outrageous ""cash price"" to the uninsured. For instance back when Medicare paid about $175 for an ambulance ride, a friend was billed $1100 for the exact same thing. The hospital aims to scare the living daylights out of the patient (caring nothing about what that does to their health!) Perfect world, the patient pays them the $1100 instead of paying their rent. If the patient puts up a fight, they hope to haggle them down to something like $400, remember it really costs $175. This tactic is a huge profit-center for hospitals, even the ""charity"" hospitals, and they feel justified because so many uninsured don't pay at all (the hospital considers them ""deadbeats"".) Well, patients don't pay because cash prices are unreachable, so they just give up. Anyway, your friends are correct, don't even think of paying those cash billing amounts. Research and find out what Medicare pays, offer 60% of that, and haggle it to 100%. And sleep well knowing you paid what is fair. Not all services are as overpriced as my example, but most are at least 50% too high. The hospital does send you all the bills as a formality, even while they submit them to your insurance company. And then the insurance company usually pays them, so it is correct to ""not pay that bill"".
A normal FSA also gives you a short term loan: money earmarked is available in entirety immediately, while you repay it every paycheck. This is interest free, and if you time your large planned medical expenses for January, can be a nice cheap loan.
Sometimes I think a question like this is one of moral versus legal.  The reality is that you know you owe the money because you received the services.  You're right that the bill should have been sent to you, and the natural urge for many people is to just count it in the win column when things like this happen and there's the chance to avoid paying. I suppose my question for you is, are you comfortable with the notion that you are not paying something that your heart of hearts tells you should be paid?  If roles were reversed and you, as a business owner, had forgotten to bill something for which you were rightfully due payment, wouldn't you hope they'd have the integrity to pay you anyway? The legal side of this can be a bit trickier, and much depends on the state you're in (assuming you're in the U.S.) because some have stiffer consumer collection and protection laws than others.  The rehab center could, when doing an audit of its accounts, discover that you didn't pay for these.  They could take the polite course of action and call you with a gentle reminder or send a bill, or they could be not so nice about it.  Either way, they can't send anything to collections for which you haven't been presented a bill and demonstrated an unwillingness to pay.  There's a process in place, regardless of the state, so they can't just automatically put it into collections. I will close with this question for you: did the rehab center help you with what you needed, and are you healthier and better because of their care?  If so, pay the bill.  That's my advice.  Keep in mind that unpaid medical costs just raise the prices for everyone else, because these providers will make up for the loss somewhere. I hope this helps. Good luck!
Seems like the doctor's office is not very organized. Ask for a line itemized bill. You want the date and the specific service(s) performed on those dates. If the bill seems fair and correct, try to negotiate cash discount payment. Ask how much they would settle for if you paid cash. If it is higher than you were thinking, say you were not expecting this sudden bill and if they would accept $xxx. If they say yes, great. If not, try to compromise, pay the suggested offer, or not pay and hope they don't send it to collections.
Do you have any other debt besides your mortgage such as credit card debt, student loans, or a car payment?  Unless those are lower interest than your mortgage, pay them off first. There are a lot of other considerations besides just mortgage and emergency fund.  Do you have some money for the things in life that happen - car repairs, unexpected medical bills, your next vehicle purchase, and the eventual replacing of those big ticket items in your home that will break eventually?  A bit of savings towards each of those each month is not a bad idea. Then there is your retirement.  Are you on track to make enough to support yourself in retirement plus pay for the cost of health care as it applies in your country (more in some countries, less in others)? There is also the cost of higher education for your children if you have any or are planning on having any.  If so, were you planning on contributing to their higher eduction?  Do you have a savings plan in place for that? Paying off the house is a great thing to do - in my mind it's great even if it reduces your mortgage deduction, although others disagree.  It's just not the number one financial priority anyone should have.
That is your bill because the services were performed for you.   You still can negotiate with the doctor however.  Suggest that while you aren't willing to pay the full share, you will pay the negotiated amount he would have actually gotten from the insurance company (or some fraction thereof).  Doc did make a mistake, but you are very much liable for it.
Unfortunately I've seen every single example you've provided from the health care providers perspective.  Trust me, they aren't happy about the situation either - hence the reason they will demand up front payment from you based on who your insurance carrier is.  I could name a few of the top brand name insurance companies in this country that do all of this to their clients.   Medical billing is an incredibly over complicated beast.  One that insurance companies have been doing everything they can to make worse over the years.  The codes can change annually and there are MANY different codes which can cover the exact same situation.  Sure the insurance company might cover gallstones, but if you happen to be pregnant, well, that may not covered even though the treatment is the exact same. What can you do? Consider locating a new insurance company.  You do have options and don't have to go with the one your company uses.  The downside is that this is going to take quite a bit of research on your part and it will end up costing you more money on your monthly premiums simply because your company won't be footing part of the bill.   Talk to other co-workers and see if their experiences match yours.  If so, try to get a large enough group together to approach management and demand resolution.   A third potential avenue is to get politically involved - but I'm enough of a pessimist that I doubt that would do any good.  From what I've seen, neither major political party's current position actually does anything to solve the problem. A fourth option is suing the insurance company - but that is going to be incredibly expensive and take forever.  You might have better luck getting together with a bunch of local people and demand your attorney general review the billing/payment practices. Again, this is going to require a LOT of effort. A fifth option is to attempt to cash pay your bills and submit them yourself to the insurance company for reimbursement.  If you do this you can likely negotiate lower bills with the medical provider.  For anything less than about $2,000 I negotiate the amount prior to service.  Believe me when I say that providers are more than happy to give decent discounts if they know they won't have to deal with the insurance companies themselves.  Slightly more work for you, but could be far cheaper in the long run.
Short Answer Collections agencies and the businesses they collect for are two different animals. If you don't want this to hurt your credit I suggest you deal directly with the hospital. Pay the bill, but prior to paying it get something in writing that specifically says that this will not be reported onto your credit. That is of course if the hospital even lets you pay them directly. Usually once something is sold to a collections company it's written off.  Long Answer Credit reports are kind of a nightmare to deal with. The hospital just wants their money so they will sell debt off to collections companies. The collections companies want to make money on the debt they've bought so they will do what ever it takes to get it out of you, including dinging your credit report. The credit bureaus are the biggest nightmare to deal with of all. Once something is reported on your credit history they do little to nothing to remove it. You can report it online but this is a huge mistake because when you report online you wave your rights to sue the credit bureaus if they don't investigate the matter properly. This of course leads to massive amounts of claims being under investigated.  So what are your options once something hits your credit history? I know this all sounds bleak but the reason I go into such depth is that they likely have already reported it to the credit bureaus and you just don't see it reported yet. Good luck to you. Get a bottle of aspirin.
Something I wanted to posit: Do you have a life insurance policy, either taken out yourself or offered through your company? Many of these policies will pay out prior to the death of the covered individual, given statements by medical professionals that the person has a terminal illness or condition. The benefit, once disbursed, can be used for almost anything, including to pay down a mortgage, cover medical bills and other care expenses, etc. If you have such a policy, I urge you to look into it; that is the money that should be used for your end-of-life care and to ease the burden on your family, not your retirement savings. Your savings, if possible, should be left to continue to compound to provide your wife with a nest egg to retire with.
Yes.   It is luck that person will have no debilitating accidents or illness to give them crippling medical debt.   It is luck that provides us with our family. It is skill that lets us choose trustworthy and resourceful people in our lives, but it is luck that they remain so.   It is luck that those investments provide a healthy return, that the companies hire prudent management and do look to cheat their investors.   Personal responsibility is all about choices, right? Those choices are only as good as the information and resources available. Access to resources and information is quite clearly not equal, and therefore  the choices we make are built on foundations of chance.   Too many people in America have a nasty habit asking people to tie their own shoes with one hand tied behind their back (or cut off), and blaming them when they trip.