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Debt was paid. I received a notice dated XX/XX/21 on XX/XX/21 From Transworld Systems Inc, XXXX XXXX XXXX XXXX XXXX XXXX, MO XXXX. This notice was to inform me that they were collecting a debt for XXXX XXXX in the amount of {$41.00}. The notice stated that if I did not dispute this in writing within 30 days of the notice they would assume this debt is valid. I have received no notice from XXXX that I had an outstanding balances. I get bloodwork done quarterly with them and my insurance covers everything at virtually XXXX cost to me. So this struck me as odd. I checked my XXXX patient portal and it does not show that I have any outstanding bills. So I called XXXX XXXX Billing Customer Support and asked them if I had any outstanding balances or if anything was sent to collections? I