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There are limited laws or rules on how any health services business should conduct their billing practices, and such rule that would require them to send out three bills before submitting a debt to collections. Generally things like a bad check or credit card reversal are instantly sent to a collector, and they may attempt to resolve other problems internally first, but not required to.

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Q: Is a private Outpatient Hemodialysis Facility mandated to bill the patient three times before is sent to a collection agency?
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