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Midwest Service Bureau

Medical Debt Collection Agency in Massachusetts

Professional medical debt collection agency in Massachusetts.

Massachusetts at a glance

Region
Northeast
Medical debt SOL
6 years
Written contract SOL
6 years
State regulator
Massachusetts Division of Banks

Collection agency license required.

A filing deadline depends on the claim, agreement, and applicable exceptions. These summaries do not determine the deadline for an individual account.

Debt recovery requires precise compliance with call limits, patient-screening rules, and surprise-billing laws. The Bay State enforces strict 940 CMR 7.00 regulations, short call windows, and mandates Health Safety Net/charity-care screening before any “extraordinary” collection. The client portal shows account status and payment history for every placed account.

We accept placement files from any practice-management or EHR export (SFTP/CSV) and return payment files. From initial account review to final payment posting, every step in medical debt collection complies with HIPAA, Division of Banks licensing, and state-specific statutes.

Initial notices mail within 24 hours and include bilingual charity-care information. Voice, SMS, email, and portal communications comply with 8 a.m.–8 p.m. call windows and do not exceed two attempts per week. Patients can self-manage zero-interest payment plans via our Early-Out Patient Collections portal.

Compliance, Security & Professional Standards

State-Specific Regulations

Medical debt collection requires adherence to 940 CMR 7, M.G.L. c. 260 statutes, and Health Safety Net requirements.

HIPAA Data Security

MSB receives PHI by encrypted file transfer (SFTP) and handles it under its HIPAA compliance program. Health information in letters and messages is limited to the patient’s name, provider, service date, and balance.

Collector Training

MSB trains all collectors annually on 940 CMR 7 call-caps and M.G.L. c. 93A.

Breach Notification (M.G.L. c. 93H)

Massachusetts data-breach notice requirements are set by M.G.L. c. 93H.

Division of Banks Licensing

Debt-collection agencies must hold a Division of Banks license and a $25 000 surety bond (209 CMR 18.00). The state’s Consumer Protection Act (c. 93A) deems any 940 CMR 7.00 violation an unfair practice. MSB is licensed where required (NMLS 2671949).

Medical Debt and Credit Reporting

Whether a medical balance can affect credit depends on its reporting eligibility and applicable law. The three nationwide credit bureaus exclude paid medical collections and medical collections with an initial reported balance under $500, and use a one-year waiting period for unpaid medical collections. These are bureau policies, not permission to report a balance prohibited by law. The CFPB’s January 2025 medical-debt credit-reporting rule was vacated by a federal court on July 11, 2025. It does not establish a nationwide reporting ban. Any reporting must satisfy applicable federal and state law and the receiving credit bureau’s policies; client permission alone is not enough.

Medical Balances We Recover

Hospital & Health-System Collections

  • Emergency-room visits
  • Inpatient admissions
  • Outpatient procedures
  • Surgical & diagnostic services

Physician-Practice Collections

  • Office visits & specialist consultations
  • Procedure fees & follow-ups
  • Lab work & imaging services

Specialty-Healthcare Debt

  • Dental care
  • Vision services
  • Mental-health counseling
  • Physical therapy & rehabilitation
  • Home-health nursing

Why Healthcare Providers Trust MSB?

You Only Pay When We Recover

We operate on a performance-based model, meaning there are no upfront costs—you pay only when we successfully recover medical debt.

Respectful, Patient-Focused Communication

Our team engages patients professionally and courteously, encouraging cooperation while protecting your organisation’s reputation and trust.

Frequently Asked Questions

Not covered here? Call (800) 362-0272 and speak with a specialist.

What is the statute of limitations for medical debt in Massachusetts?

Six years for written contracts, four years for open accounts. Partial payment or new written promise restarts the six-year clock.

Can medical debt affect my credit score in Massachusetts?

Whether a medical balance can affect credit depends on its reporting eligibility and applicable law. The three nationwide credit bureaus exclude paid medical collections and medical collections with an initial reported balance under $500, and use a one-year waiting period for unpaid medical collections. These are bureau policies, not permission to report a balance prohibited by law. The CFPB’s January 2025 medical-debt credit-reporting rule was vacated by a federal court on July 11, 2025. It does not establish a nationwide reporting ban. Any reporting must satisfy applicable federal and state law and the receiving credit bureau’s policies; client permission alone is not enough.

How does medical debt collection differ from other debt?

Massachusetts medical debt collection must comply with HIPAA, Division of Banks licensing, 940 CMR 7 call limits, surprise-billing holds, charity-care screening, and a six-year statute—stricter than standard consumer debt.

Do collectors see my medical treatment details?

Only what is needed to collect the bill. Providers may only disclose what’s necessary for billing in compliance with HIPAA.

Can I dispute a medical debt in Massachusetts?

Yes. You can request written verification. The collector must provide documentation proving the debt before continuing collection efforts.

Should I pay a bill caused by an insurance processing error?

No. If you believe the charge is due to an insurance processing error or incorrect billing, you should dispute it and request correction and verification before paying.

Contact Us Today

Ready to improve your debt recovery? Contact our team for a free, no-obligation consultation.

Call (800) 362-0272
  • No recovery, no fee
  • Licensed where required
  • HIPAA compliant
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