Medical Debt Collection In New Hampshire

For professional medical debt collection in New Hampshire, trust MSB. We offer HIPAA-compliant strategies to recover outstanding balances for healthcare providers, improving your facility's financial outcome.

Medical Debt Collection Expert

Debt collection services transforms overdue hospital, clinic, and ancillary-care balances into dependable revenue streams for healthcare providers across the Granite State. While only about 5% of residents remain uninsured, rising deductibles and coinsurance obligations leave many patients with significant self-pay balances. Community hospitals in Keene, Littleton, and Laconia already operate under tight financial pressures — every recovered dollar sustains imaging departments, emergency services, and behavioral health programs. Midwest Service Bureau (MSB) leverages advanced segmentation, omnichannel outreach, and compassion-driven scripts to increase recovery rates by approximately 18% within 90 days while maintaining patient respect and compliance. Efficient healthcare bill collection closes reimbursement gaps without adding to patient costs.


Our collectors integrate seamlessly with Epic, Cerner, Meditech, NextGen, eClinicalWorks, and athenahealth. Consult with us for our expert analysis dashboards. From initial account validation to final payment posting, PHI protection and full regulatory compliance define every debt recovery procedure.

Our Proven Medical Debt Collection Method

Our process is structured to optimize recoveries, maintain regulatory compliance under HIPAA, FDCPA, and New Hampshire law, and protect valued patient relationships throughout every interaction.

Phase 1: Account Review and Validation

  • 48-hour scrub against bankruptcy, deceased, Medicaid eligibility, and litigious-debtor databases to ensure file integrity before engagement.
  • CPT/HCPCS coding audit prevents balance-billing conflicts and accelerates clean claim reconciliation.
  • A HIPAA-compliant 30-day validation notice initiates each collection placement.

Phase 2: Patient Communication and Outreach

Once the dispute period concludes, our omnichannel contact strategy begins — SMS, IVR, email, USPS correspondence, and compassionate phone conversations scheduled to Eastern Time. Collectors trained in motivational interviewing identify hardship drivers and tailor sustainable repayment options, transforming difficult calls into collaborative debt recovery outcomes.

Phase 3: Resolution and Payment Processing

Patients review and e-sign agreements through encrypted portals, with payments processed via PCI-certified gateways (ACH, debit/credit, Apple Pay, Google Wallet). Each transaction syncs nightly to your HIS, providing real-time transparency into how healthcare debt recovery reduces Days Sales Outstanding and improves revenue continuity.

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

Your Trusted Debt Collection Agency in New Hampshire

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Compliance, Security & Professional Standards

State-Specific Regulations

Any agency providing debt collection in New Hampshire must be licensed through the New Hampshire Banking Department and maintain a valid surety bond to operate legally within the state.

Key requirements include:

  • Issuing a 30-day written validation notice before initiating any additional collection activity.
  • Ceasing communication once a patient disputes a debt until verification is provided in writing.
  • Restricting charges to those explicitly authorized in the original patient-financial agreement.

Written medical obligations fall under a three-year statute of limitations (RSA 508:4-a). Judgments remain enforceable for up to 20 years, making litigation a viable but last-resort enforcement option in compliant debt recovery strategies.

HIPAA Compliance Requirements

Since every placement contains Protected Health Information (PHI), MSB employs rigorous safeguards throughout all New Hampshire medical debt collection workflows. Data transfers occur via encrypted SFTP or VPN, files are stored using AES-256 encryption, and access is restricted through role-based permissions. All PHI touches are logged, and letters or IVR messages reveal only limited details—patient name, provider, date of service, and balance—ensuring full HIPAA compliance.

Fair Debt Collection Practices Act (FDCPA) in New Hampshire

Federal FDCPA standards form the foundation for compliant medical debt recovery, prohibiting calls before 8 a.m. or after 9 p.m., harassment, and inaccurate credit reporting. MSB’s AI-driven speech analytics engine reviews 100% of flagged calls within 24 hours to ensure every interaction aligns with both federal and state consumer protection laws.

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 a medical provider collect unpaid bills in New Hampshire

In New Hampshire, the statute of limitations for medical debt collection is typically three years from the last payment date. MSB helps healthcare providers recover outstanding balances within this period while ensuring compliance with all state and federal regulations.

If medical bills remain unpaid in New Hampshire, they may eventually be reported to credit bureaus, affecting your credit score. MSB encourages patients to contact us early to discuss flexible payment plans and avoid negative credit impact or additional collection actions.

Yes. If you believe your medical bill is inaccurate, you can dispute it in writing within 30 days. MSB will verify the debt and provide documentation as required by law, ensuring transparency and fairness throughout the dispute process.

Healthcare providers in New Hampshire choose MSB for our trusted, patient-first debt recovery solutions. We focus on clear communication, legal compliance, and ethical practices that protect provider revenue while preserving patient relationships and satisfaction.

MSB strictly adheres to HIPAA and federal privacy laws when handling medical debt in New Hampshire. We never disclose personal or medical information without consent and ensure every communication is secure, respectful, and fully compliant with data protection standards.

Contact Our Debt Collection Team

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

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