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Debt type: Medical Debt

Medical balances, handled the way regulators now require.

Medical debt is under more regulatory change than any other category. HL Hunt applies bureau exclusions, state medical debt laws, 501(r) requirements, and HIPAA minimum-necessary rules automatically, while reaching patients with empathy and real options.

  • Free plan, no credit card
  • FDCPA, TCPA & Reg F enforced
  • Outreach live in under an hour
  • Commission only on recoveries
+34%
Self-pay recovery with plans and portal
0
Ineligible medical accounts reported to bureaus
501(r)
Notification and ECA timing tracked
-41%
Patient complaints vs. prior agency

How HL Hunt collects medical debt

  • Rules that change monthly, maintained

    Federal bureau policy, CFPB rules, and a growing list of state medical debt laws tracked and applied per patient location.

  • Financial assistance first

    Presumptive eligibility signals and FAP application links delivered with the balance, before any escalation.

  • HIPAA-aware channels

    Minimum-necessary messaging, no clinical detail in texts or emails, and itemized statements only in the verified portal.

  • Empathetic tone

    Messaging that acknowledges a health event and leads with options, approved by your patient experience team.

  • Interest-free plans

    Plan terms that reflect state caps and nonprofit policies, with autopay and clear receipts.

  • Insurance reconciliation

    Adjustments and late insurance payments post automatically so patients are never pursued for amounts no longer owed.

Start recovering medical debt today.

Create a free account, upload your first accounts, and compliant AI outreach starts within the hour. No credit card, no contract.

How it works

  1. 01

    Place accounts

    Upload a CSV, connect your system, or push medical debt through the API with balances, itemization, and consent data.

  2. 02

    AI runs the right strategy

    Collectability scoring sets intensity, the waterfall picks channels, and every contact is checked against the rules that apply to this debt type.

  3. 03

    Resolve and sync

    Payments, plans, disputes, and status updates flow back to your system in real time with full audit trails.

Medical debt is different, and the law now says so

Patients do not choose medical debt, often do not understand it, and frequently cannot pay it in full. Regulators and the market have responded: the three bureaus removed paid medical collections and stopped reporting medical debts under $500 or less than a year old; the CFPB has moved to exclude medical debt from credit reports entirely; states from Colorado to New York have passed medical debt collection laws with notice, plan, and reporting restrictions; and nonprofit hospitals operate under 501(r) rules governing financial assistance and extraordinary collection actions.

HL Hunt was built with these rules in the engine. Every medical account is checked for reporting eligibility before any furnishing. Financial assistance eligibility is surfaced early with application links. Required notices and waiting periods are generated and tracked. Messaging is empathetic, plain, and limited to the minimum necessary under HIPAA, with detail available only in the verified portal.

Providers see better outcomes on every dimension: more self-pay recovered through plans and self-service, cleaner charity write-offs with documentation, fewer complaints, and no exposure from reporting or collecting in ways the law no longer permits.

What changes

HL Hunt vs the traditional approach

Start free
 HL HuntTraditional collections
Medical Debt rulesType-specific laws, itemization, and strategy applied automaticallyOne generic workflow for every debt
Who does the workAI contacts, converses, negotiates, and collects; humans handle exceptionsAgents on a dialer working whatever fits in the day
ComplianceEvery contact checked against FDCPA, TCPA, Reg F, and state law before it happensTraining, scripts, and audits after the fact
ChannelsSMS, email, AI voice, letters, and a self-service portal chosen per debtorPhone calls and letters on a fixed schedule
CoverageEvery account worked, including small balancesLarge balances worked; the rest ages out
VisibilityEvery message, transcript, promise, and payment live in your dashboardA monthly PDF report
CostFree to $649 a month plus 3% to 26% commission; Enterprise custom25% to 50% contingency, or seats plus modules plus services

Pricing

Start free. Pay only on what you recover.

Medical Debt is included on every plan. Start at $0 a month with 50 active collections, and move up as your portfolio grows. Commission falls from 26% on Free to 3% on Enterprise, and it is charged only on money actually recovered.

Enterprise: unlimited collections, seats, SMS, voice, and email with a 3% commission, SOC 2 reports, DPA, and dedicated support.

$0
Free

50 active collections · 26% commission · 1 seat

$149
Basic, per month

250 active collections · 15% commission · 3 seats

$349
Growth, per month

1,000 active collections · 10% commission · 10 seats

$649
Scale, per month

5,000 active collections · 6.5% commission · 25 seats

Get started

Go live with Medical Debt today

Create a free account, upload your first accounts, and AI outreach begins within the hour. No credit card, no contract, no implementation project. Here is what to have ready.

Prefer to talk first? info@hlhunt.org

  1. 01A CSV or system export of delinquent accounts: name, contact details, balance, and itemization
  2. 02Consent and contact-preference data you hold for phone numbers and email addresses
  3. 03Your legal entity, any collection licenses you hold, and the states you collect in
  4. 04Brand assets and tone preferences for outreach in your name
  5. 05Settlement authority and payment plan rules you want the AI to follow

Medical Debt FAQ

Can medical debt still be reported to credit bureaus?

Only in limited cases. Bureau policy excludes paid medical collections, debts under $500, and debts less than a year old. Federal and state rules restrict further. HL Hunt checks eligibility per account and most healthcare clients choose not to report at all.

How does HL Hunt support 501(r)?

FAP summaries and application links in outreach, the 120-day notification period and 30-day notice before extraordinary collection actions tracked, and presumptive eligibility routing to charity review.

Is HL Hunt HIPAA compliant?

HL Hunt signs a BAA, applies minimum-necessary principles to every communication, and keeps PHI in the secure portal. Controls are SOC 2 Type II audited.

Which state medical debt laws are covered?

All state laws governing medical debt collection, notice, plans, interest, and reporting are maintained in the compliance engine and applied by patient location.

Still have questions?

Talk to a collections specialist, or start free and see the platform for yourself.

Start recovering more today.

Create a free account, upload your first accounts, and compliant AI outreach begins within the hour. Pay commission only on what you recover.

Start free