Our Debt Collection Services
Contingency debt collection for healthcare, commercial, municipal and education organizations nationwide. Headquartered in Wichita, Kansas since 1970.
- No recovery, no fee
- Licensed where required
- HIPAA compliant
Overview
Collection Services Overview
Midwest Service Bureau, headquartered in Wichita, Kansas, has collected for clients since 1970. We collect patient balances for hospitals, physician groups, and dental and veterinary practices; unpaid invoices and trade credit for businesses; utility bills and other receivables for cities, counties and utilities; and tuition and fees for schools. We collect nationwide.
Contingency placements: you pay only when we collect. There are no setup fees and no monthly minimums. Early-out and first-party programs are quoted separately, with flat-fee and hybrid pricing available.
Below is each service, how a placement works, and how to get started. Questions? Call (800) 362-0272.
Industry Credentials: MSB is licensed where required (NMLS 2671949), BBB accredited with an A+ rating, and runs an FDCPA, Regulation F and HIPAA compliance program.
Services
Our Collection Services
Full-Service Debt Collection
Full-service collection covers the whole account. When you place accounts with MSB, we review each account, set its contact strategy, and work it through to voluntary payment or a structured payment plan.
Collectors work accounts by phone, letter, email and text message within Regulation F contact limits, with skip tracing for debtors who have moved. The client portal shows account status and payment history for every placed account. Collections run under MSB's FDCPA, Regulation F, FCRA and HIPAA compliance program.
Explore Debt Collection ServicesConsumer Collections
Consumer debt is personal — behind every account is a patient, customer, student, or ratepayer your organization may serve again. MSB's consumer collections practice recovers medical, dental, utility, education, veterinary, and retail balances firmly and effectively, with the empathy and professionalism that keeps your reputation intact.
Consumer collections is the most heavily regulated corner of the receivables industry. Contacts follow the FDCPA, TCPA, CFPB Regulation F, HIPAA where health information is involved, and state-specific rules. Our current numbers are listed on our phone numbers page, with our main line (800) 362-0272 for consumers who want to verify a call. Our collectors offer structured payment plans and screen for financial assistance where appropriate, because a resolved account and a preserved relationship beat a burned bridge.
Explore Consumer CollectionsCommercial Collections
Collecting from a business is nothing like collecting from a consumer. The balances are larger, the disputes are more complex, and the debtor may be a trading partner your client wants to keep. MSB's commercial collections recover unpaid invoices and trade credit balances.
Our commercial collectors prioritize resolution and preserve goodwill between trading partners, with skip tracing when a debtor has moved. Contingency placements: you pay only when we collect.
Explore Commercial CollectionsBad Debt Outsourcing
Bad debt outsourcing allows organizations to transfer the burden of managing delinquent accounts entirely to MSB's experienced team. Instead of tying up your internal staff, resources, and systems on accounts that have passed beyond your normal follow-up window, you can outsource those accounts to a team that specializes exclusively in recovering difficult receivables.
Our bad debt outsourcing service is designed for organizations that want to offload their aging A/R without maintaining an in-house collections department. We handle everything — from initial debtor contact through payment processing and reporting — so your team can focus on core business operations. We prioritise outsourced accounts by balance and age, so that resources are allocated efficiently and high-value accounts receive priority attention.
The contingency model means you pay nothing for accounts that aren't collected, without the fixed cost of maintaining in-house collection staff.
Explore Bad Debt OutsourcingSelf-Pay & Early-Out Recovery
Early-out collection programs intervene in the revenue cycle before patient accounts become delinquent bad debt. MSB's early-out service is specifically designed for healthcare providers — hospitals, physician groups, dental practices, and ambulance services — who want to improve self-pay collection rates while maintaining positive patient relationships.
In a typical early-out engagement, MSB receives patient accounts shortly after insurance adjudication when a self-pay balance remains. Our team contacts patients using your organization's name (first-party branding), explains their financial responsibility, offers payment plan options, and screens for financial assistance programs including charity care, Medicaid, and sliding-scale payment programs. Early-out programs are quoted separately, with flat-fee and hybrid pricing available.
Resolving patient balances early in the cycle reduces the number of accounts that later need third-party collection. MSB's early-out service accepts placement files exported from your EHR and returns payment files for posting to your patient accounting system.
Explore Early-Out CollectionsExpert Portfolio Analysis
Not sure if outsourcing your collections makes sense? MSB offers a free, no-obligation review of your accounts receivable before you place anything.
We look at your account data — balance distribution, aging buckets, payer mix and write-off patterns — and recommend which accounts suit early-out, contingency placement, or no placement at all.
The review can also point to billing-workflow or patient-communication changes worth making before accounts reach the outsourced stage, whether or not you place accounts with MSB.
Request Free AnalysisHow it works
How a Placement Works
From the file you send to the money we remit, in five steps. Onboarding typically completes within five business days.
- [1]
File
You send a placement file through the client portal or a secure file transfer; a scheduled export from your billing system or EHR works too.
- [2]
Review
We check each account’s balance, dates and contact details and set its contact strategy before any contact is made.
- [3]
Notice
Consumer accounts receive the validation notice Regulation F requires, stating the debt, the creditor and how to dispute it.
- [4]
Contact
Collectors work accounts by phone, letter, email and text within Regulation F contact limits and offer payment plans. Consumers can pay at www.msb-bill.com.
- [5]
Remit
Collected funds are remitted to you. The client portal shows account status and payment history for every placed account.
Compare
MSB vs. In-House Collections: A Comparison
Understanding why organizations choose to partner with a specialized collection agency instead of managing collections internally.
| Factor | MSB (Outsourced) | In-House Collections |
|---|---|---|
| Cost Structure | Contingency-based — pay only when we collect. No salaries, benefits, training costs, or overhead. | Fixed costs for staff salaries, benefits, training, office space, phone systems, and collection software — regardless of recovery results. |
| Focus | Collections is the whole job: early placement, skip tracing and multi-channel contact. | Staff often handle collections as a secondary duty alongside other responsibilities. |
| Compliance | MSB's FDCPA, Regulation F, FCRA and HIPAA compliance program, with compliance review of flagged calls. Licensed where required (NMLS 2671949). | Compliance burden falls on your organization. Requires ongoing training, monitoring, and legal review — with significant liability exposure for errors. |
| Technology | Client portal with account status and payment history reporting, multi-channel contact, and EHR file exchange — included at no additional cost. | Requires investment in collection software, dialers, payment processing, reporting tools, and ongoing maintenance and updates. |
| Scalability | Placement volume can rise or fall without staffing changes on your end. | Scaling requires hiring, training, and managing additional staff. Difficult to adjust quickly to volume changes without excess cost. |
| Expertise | Founded in 1970; collects for healthcare, commercial, municipal and education clients. | Generalist staff may lack deep collection expertise. High turnover in collection roles creates constant training challenges. |
Want a second look at your receivables first? Request a free portfolio analysis.
Benefits
Key Benefits of Partnering with MSB
What a placement with MSB changes for your team:
- Work Starts at Placement: Collectors work your accounts from placement, with priority accounts first.
- Reduced Administrative Burden: Outsourcing collections to MSB frees your internal staff to focus on core business functions — patient care, customer service, or operations — instead of spending hours on collection calls and follow-up correspondence.
- Compliance Program: Collections run under MSB's FDCPA, Regulation F, FCRA and HIPAA compliance program, and MSB is licensed where required (NMLS 2671949).
- Focused Recovery Effort: Specialized collectors, skip-tracing, and compliant multi-channel contact strategies are designed to recover more than an un-worked account would.
- Preserved Relationships: Whether it's patients, customers, or constituents, MSB's empathetic and professional approach protects your most important relationships. Effective collections and positive relationships are not mutually exclusive.
- Client Portal: Account status and payment history for every placed account, at any time.
- No Hiring to Scale: Placement volume can rise or fall without hiring, training, or overhead costs on your end.
Getting started
Getting Started with MSB
Partnering with Midwest Service Bureau is straightforward. Onboarding typically completes within five business days.
Step 1: Free Consultation & Portfolio Analysis
Contact us by phone at (800) 362-0272 or through our online form. We'll schedule a consultation to understand your organization's collection challenges, account volumes, and goals. If you provide sample account data, our team will conduct a free portfolio analysis.
Step 2: Agreement & Onboarding
Once you decide to move forward, we'll finalize a contingency agreement, with no setup fees and no monthly minimums (early-out and first-party programs are quoted separately). Our onboarding team will work with your billing department or IT team to establish secure account placement procedures, whether through a scheduled EHR export, SFTP file transfer, or our secure web portal. For healthcare clients, we'll execute a Business Associate Agreement (BAA) to ensure HIPAA compliance from day one.
Step 3: Account Placement & Recovery Begins
Once onboarding is complete, you begin placing accounts and our collectors begin outreach, starting with priority accounts. You'll have access to our client portal from the start, so you can check account status and payment history at any time.
Step 4: Ongoing Support
Our team answers your questions, the client portal shows account status and payment history for every placed account, and collected funds are remitted to you as accounts pay.
Ready to get started? Contact us today or call (800) 362-0272 for a free, no-obligation consultation.
Industries
Industries We Serve
MSB provides specialized collection services tailored to the unique requirements and regulations of each industry.
Ready to Place Accounts?
Call (800) 362-0272 or contact MSB for a free, no-obligation consultation.
- No setup fees
- No monthly minimums
- Contingency placements: you pay only when we collect