Medical Debt Collection In Hawaii

MSB is the trusted partner for ethical Hospital debt collection throughout Hawaii. We provide compliant solutions, helping medical facilities achieve financial recovery while maintaining patient trust and professionalism.

Medical Debt Collection Expert

Professional Healthcare Collection Agency in Hawaii

Debt recovery is a compliance-driven approach that transforms unpaid hospital, clinic, and ancillary-care accounts into predictable revenue for healthcare providers across the Aloha State. Although roughly 4% of Hawaiians lack insurance, high deductibles and substantial out-of-pocket responsibilities result in lingering self-pay balances. Hospitals on Kaua‘i, Maui, and Hawai‘i Island operate on very thin margins, making every dollar collected crucial for funding advanced imaging, maternity services, and inter-island telehealth programs that link rural patients with O‘ahu specialists.

Midwest Service Bureau (MSB) leverages sophisticated skip-tracing tools, multi-channel patient engagement, and empathy-focused communication to generate up to 18% higher net recoveries within 90 days versus traditional internal collections. Our system seamlessly integrates with Epic, Cerner, Meditech, NextGen, eClinicalWorks, and Athenahealth, feeding real-time KPIs into our Expert Analysis dashboards. Each stage of healthcare bill collection remains fully transparent, compliant, and measurable, balancing revenue optimization with patient-centered care.

Our Proven Debt Recovery Method

Our structured collection process is designed to maximize recoveries, maintain patient trust, and ensure strict regulatory compliance under HIPAA, FDCPA, and state law.

Phase 1: Account Assessment & Verification

  • Comprehensive 48-hour screening against bankruptcy filings, deceased records, Medicaid eligibility, and high-risk debtor databases
  • Certified coding review of CPT/HCPCS to prevent billing discrepancies and disputes
  • Initiation of HIPAA-compliant 30-day validation letters for every medical bill collection account

Phase 2: Patient Engagement & Communication

Following the validation period, multi-channel outreach is deployed, including SMS, IVR, email, USPS correspondence, and empathy-based calls aligned to Hawaii-Aleutian Time. Collectors employ motivational interviewing techniques to uncover financial hardships and design tailored repayment plans, converting difficult conversations into cooperative debt recovery outcomes.

Phase 3: Payment Resolution & Processing

Patients securely e-sign agreements through encrypted portals. Payments are processed via PCI-certified gateways (ACH, debit/credit cards, Apple Pay, Google Wallet), with nightly settlements posted to your HIS. Dashboard reporting provides visibility into how healthcare bill recovery reduces Days Sales Outstanding across diverse payer types.

Turning Debt Challenges into Recovery Opportunities
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Types of Medical Debt We Collect

Hospital & Health-System Debt

Physician-Practice Collections

Specialty-Healthcare Debt

Why Choose MSB for Medical Bill Collection in Hawaii

smiling doctor nurse with digital tablet 107420 84817

Compliance, Security & Professional Standards

State-Specific Regulations

  • Licensing & Bond – Any agency performing debt recovery services must secure a Collection Agency License from the Department of Commerce and Consumer Affairs and maintain a valid surety bond.
  • Validation Notice – A 30-day written verification must be sent before pursuing further collection actions.
  • Dispute Pause – Collection efforts must cease until written verification is provided when a patient disputes the balance.

HIPAA Compliance

Protected Health Information accompanies every placement. MSB ensures HIPAA-secure healthcare debt collection by transmitting files via encrypted SFTP/VPN, storing data with AES-256 encryption, enforcing role-based access, and logging every PHI interaction. Letters and IVR communications disclose only the patient’s name, provider, service date, and balance.

Fair Debt Collection Practices Act (FDCPA) in Hawaii

MSB fully adheres to FDCPA guidelines, including no calls before 8 a.m. or after 9 p.m. local time, prohibition of harassment, and precise credit reporting. All flagged interactions undergo 100% review within 24 hours via a speech analytics engine, ensuring compliantcollection practices.

Our Track Record

Average recovery rate
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Day Average
0
Accounts
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Resolution
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Our Track Record

93%

Average recovery rate

34

Day Average

4,812

Accounts

93%

Resolution

What Our Client Say

Discover the experiences of our satisfied clients. Hear firsthand Midwest Service Bureau Reviews on how MSB has delivered reliable, results-driven solutions that make a real difference.

Center for Same Day Surgery
Midwest Service Bureau is a company that truly looks out for the greater good of their client. They want to see their clients thrive, even if that means they do not make a profit. Any time I have ever had a question I call Midwest and they have the answer. Any time I have needed advice they have been there for me and have guided me through the process. Their customer service is outstanding and their work ethic is even better! I couldn’t imagine a time when I wouldn’t need them.
Advanced/Preferred Physical Therapy
The team at Midwest Service Bureau has earned our trust for over 10 years based on their service, results, performance, and rates and that’s why they will continue to receive all our collection business. They deliver excellent customer service with quick responses, unlimited willingness to lend their assistance, ethical work values, and even training seminars that provide us with other processes and tools to reduce our collections activity. On top of that, I enjoy the relationships I have made with the people of MSB over the years. I have no reservation in recommending Midwest Service Bureau to others.
Earnest Heat & Air, Inc.
We have been doing business with Midwest Service Bureau for a while now. They have an extremely high recovery rate. They are always right on top of things, and get the job done. We have other credit services calling us but, we always tell them that we are happy with who we are using. We would highly recommend them to anyone.
Inspire ENT & Pulmonology
Our office has had a great experience with Midwest Service Bureau. The staff is very helpful and knowledgeable, always available to answer questions. Our representative comes into our office once a month to check in and see how things are going for us. If we have any questions or issues they take the time to get them resolved. Midwest also offers training for the staff. We did take advantage of this opportunity and it was very helpful to the staff members that had no previous experience with collections. Through the training, the front office staff learned what information they should be gathering and the importance of it. I would highly recommend Midwest Service Bureau if you are looking for a collection agency.
Debbie P. Collection Manager
I have been employed with Sunflower Bank for over 20 years as the collection manager, and during that time have dealt with Midwest Service Bureau, LLC regarding collection accounts to include credit cards, loans, and deposit accounts. I have also dealt with them prior to coming to Sunflower Bank when I worked for GMAC out of Wichita, KS for roughly ten years. Micki Kell who is the President of this organization and her staff have provided wonderful customer service the entire time. A representative from the organization always contacted us in person once a month, and the face-to-face contact was always greatly appreciated. Their staff was always available to answer any questions or address any concerns we had. Their software program was very user friendly and make it an easy way to communicate regarding accounts. I would definitely recommend this organization if you are looking for a company to handle your collection accounts.

Frequently Asked Questions

How long can medical debt be collected in Hawaii?

In Hawaii, the statute of limitations for most written medical debts is six years. After that period, a collector cannot sue you; however, the debt may still exist, and voluntary payment or settlement options can still be offered.

No full medical records are shared. Collectors only receive limited billing details needed to verify your identity and the balance. All information must follow HIPAA and Hawaii privacy rules, ensuring your sensitive health data stays protected.

This often happens when insurance only covers part of the bill, denies a claim, or requires a co-pay or deductible that wasn’t paid. Sometimes billing delays or documentation issues also cause accounts to reach collections.

Medical debt can affect your credit only if it remains unpaid for one year and goes to collections. Once paid, many medical collection accounts are removed from credit reports, depending on credit bureau rules and reporting timelines.

Contact Our Team Today!

Phone: 316-263-1051
Address: 625 W. Maple St., Wichita, KS 67213

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