How much time does a doctor's office have to collect balance from me?
"They have forever to collect a balance from you.  Furthermore they can add whatever penalties and fees they wish to increase that balance.  Worst of all, they don't have to remind you or send you bills or any other notification.  You owed it when you left the office.  (There very well could be local laws that require notifications, but that isn't really the issue here.) That dentist has every right to deny you service until you settle the account.  Forever. The statute of limitations on collecting that debt via court: http://www.bankrate.com/finance/savings/when-does-your-debt-expire.aspx Which covers the rules on HOW LONG they have to collect the debt.  Owing the money is one thing, but the rules and tools that you creditor has to collect the debt are another.  You are probably worried about them suing you. But if you don't pay the debt (or settle in some way), that dentist can refuse to provide services to you, even if they write off the debt. Ways you can be punished by your dentist for not paying the bill are: Depending on your jurisdiction and/or type of debt, they typically only report it on your credit (if they are reporting at all) for 7 years.  Even if you pay and settle the account, it will still be reported on your credit report for 7 years.  The difference is how it is reported.  They can report that ""user133466 is a super reliable person who always pays debts on time"".  They can say ""user133466 is a flake who pays, but takes a while to pay"".  Or they can say ""user133466 is a bad person to provide services before collecting money, because user133466 don't pay bills"". Other people considering lending you money are going to read these opinions and decide accordingly if they want to deal with you or not. And they can say that for 7 years.  The idea of credit reporting is that you settle up as soon as possible and get your credit report to reflect the truth. One popular way to collect a debt to is to sue you for it.  There, each state has a different time period on how long a creditor has to sue you for a debt. http://www.bankrate.com/finance/credit-cards/state-statutes-of-limitations-for-old-debts-1.aspx If you pay part of the debt, that will often reset the clock on the statute of limitations, so be sure any partial or negotiated settlements state very clearly, in writing, that payment is considered payment in full on the debt.  Then you keep that record forever. There are other interesting points in the Fair Debt Collection Practices Act.  See Debt collectors calling? Know your rights.  They can only contact you in certain ways, they must respond to you in certain ways, and they have limits on what they can say, who they can say it to, and when they can say it.  There are protections from mean or vicious bill collectors, but that doesn't sound like who you are dealing with.  I don't know that the FDCPA is a tool you need to use in this case. You should negotiate your debt and try your best to settle up.  From your post, both parties dropped the ball, and both parties should give a little.  You should pay no or minor late fees, and the doctor should report your credit positively when you do so.  If you both made honest mistakes, they both parties should acknowledge that and be fair, and not defensive. This is not legal advice.  But you owe the debt, so you should settle up.  I don't think it is fair for you to not pay because they didn't mail you a paper.  However I also do not think it is fair for the doctor to run up fees and not remind you of the bill. Finally, you didn't bring up insurance or many other details.  Those details can change the answer." If they had told me that I owe them $10,000 from 3 years ago, I   wouldn't have anything to fight back. Why? First thing you have to do is ask for a proof. Have you received treatment? Have you signed the bill when you were done? This should include all the information about what you got and how much you agreed to pay. Do they have that to show to you, with your signature on it? If they don't - you owe nothing. If they do - you can match your bank/credit card/insurance records (those are kept for 7 years at least) and see what has been paid already. Can a doctor's office do that? They can do whatever they want. The right question is whether a doctor's office is allowed to do that. Check your local laws, States regulate the medical profession. Is there a statute of limitation (I'm just guessing) that forces them   to notify me in a certain time frame? Statute of limitations limits their ability to sue you successfully. They can always sue you, but if the statute of limitations has passed, the court will throw the suite away (provided you bring this defense up on time of course). Without a judgement they cannot force you to pay them, they can only ask. Nicely, as the law quoted by MrChrister mandates. They can trash your credit report and send the bill to collections though, but if the statute of limitations has passed I doubt they'd do that. Especially if its their fault. I'm not a lawyer, and you should consult with a lawyer licensed in your jurisdiction for definitive answers and legal advice. Seems like the doctor's office is not very organized. Ask for a line itemized bill. You want the date and the specific service(s) performed on those dates. If the bill seems fair and correct, try to negotiate cash discount payment. Ask how much they would settle for if you paid cash. If it is higher than you were thinking, say you were not expecting this sudden bill and if they would accept $xxx. If they say yes, great. If not, try to compromise, pay the suggested offer, or not pay and hope they don't send it to collections.
"@Joe's original answer and the  example with proportionate application of the payment to the two balances is not quite what will happen with US credit cards. By US law (CARD Act of 2009), if you make only the minimum  required payment (or less), the credit-card company can choose which part of the balance that sum is applied to. I am not aware of any company that chooses to apply such payments to anything other than that part of the balance which carries the least interest rate  (including the 0% rate that ""results"" from acceptance of balance transfer  offers). If you make more than the minimum required payment, then the excess must, by law, be applied to paying off the highest rate balance. If the highest rate balance gets paid off completely, any remaining amount must be applied to second-highest rate balance, and so on.  Thus, it is not the case that that $600 payment (in Joe's example) is applied proportionately to the $5000 and $1000 balances owed. It depends on what the required minimum payment is. So, what would be the minimum required payment? The minimum payment is the total of (i) all finance charges incurred during that month, (ii) all service fees and penalties (e.g. fee for exceeding credit limit, fee for taking a cash advance, late payment penalty) and other charges (e.g. annual card fee) and (iii) a fraction of the outstanding balance that (by law) must be large enough to allow the customer to pay off the entire balance in a reasonable length of time. The law is silent on what is reasonable, but most companies use 1% (which would pay off the balance over 8.33 years).  Consider the numbers in Joe's example together with the following assumptions: $5000 and $1000 are the balances owed at the beginning of the month, no new charges or service fees during that month, and the previous month's minimum monthly payment was made on the day that the statement paid so that the finance charge for the current month is on the balances stated). The finance charge on the $5000 balance is $56.25, while the finance charge on the $1000 balance is $18.33, giving a minimum required payment of $56.25+18.33+60 = $134.58. Of the $600 payment, $134.58 would be applied to the lower-rate balance ($5000 + $56.25 = $5056.25) and reduce it to $4921.67. The excess $465.42 would be applied to the high-rate balance of $1000+18.33 = $1018.33 and reduce it to $552.91. In general, it is a bad idea to take a cash advance from a credit card. Don't do it unless you absolutely must have cash then and there to buy something from a merchant who does not accept credit cards, only cash, and don't be tempted to use the ""convenience checks"" that credit-card companies send you from time to time. All such cash advances not only carry larger rates of interest (there may also be upfront fees for taking an advance) but any purchases made during the rest of the month also become subject to finance charge. In other words, there is no ""grace period"" for new charges, and this state of affairs will last for one month beyond the first credit-card statement whose statement is paid off in full in timely fashion. Finally, turning to the question asked, viz. "" I am trying to determine how much I need to pay monthly to zero the balance, ...."", as per the above calculations, if the OP makes the minimum required payment of $134.58 plus $1018.33, that $134.58 will be applied to the low-rate balance and the rest $1018.33 will pay off the high-rate balance in full if the payment is made on the day the statement is issued. If payment is made later, but before the due date, that $1018.33 will be accruing finance charges until the date the payment is made, and these will appear as 22% rate balance on next month's statement. Similarly for the low-rate balance. What if several monthly payments will be required? The best calculator known to me is at https://powerpay.org (free but it is necessary to set up a username and password).  Enter in all the credit card balances and the different interest rates, and the total amount of  money that can be used to pay off the balances, and the site will lay out a payment plan.  (Basically, pay off the highest-interest rate balance as much as possible while making minimum required payments on the rest). Most people are surprised at how much can be saved (and how much shorter the time to be debt-free is) if one is willing to pay just a little bit more each month." You could do a voluntary repossession. While a repossession never looks good on your credit a voluntary repossession is slightly better. A good friend of mine had a situation like this about 11 years ago.  She was in an accident didn't have replacement coverage insurance and was left with a large chunk of debt on a wrecked vehicle that she then rolled into a new car. In the end it came down to the simple fact that she could not afford a car loan on a vehicle that never was worth as much as she owed.  Since the car was worth less than the loan she really couldn't sell it to fix the problem. She called and arranged a voluntary repossession.  She stopped making payments, and parked the car till they came and picked it up.  (Took about 4 months and 20 phone calls from her for them to come get it.)  In the mean time, I purchased her a much older used but decent car for a couple thousand and she paid me back over the next year.  The total she paid me back was less than the money she would have paid in the 4 months it took them to come get the car.  In fact by the time they picked up the car she had paid back over half on the car I bought her. Yes the repossession did stay on her credit for seven years but during that time she was approved for a mortgage, cellphone plans, and credit cards etc.  Therefore I don't know that it did that much damage to her credit. When her car was sold at auction by the repo company it sold for much less than the loan amount. Technically she was on the hook for the remaining amount. The outstanding balance on the loan was then sold several times to several different collection agencies. Over the years since then she has gotten letters every now and then demanding she pay the amount off, she ignores these.  Most of these letters even included very favorable terms (full forgiveness for 20% of the amount)  At this point the statute time has run out on the debt so there is no recourse for anyone to collect from her. The statute time limit varies from state to state.  Some states it is as long as 10 years in others it is as short as 3 years. What this means is that counting from the date of the repossession, incurrance of debt, last payment, or agreement to pay whichever is later if the statute period has elapsed and the lender/collector has not filed a suit against you by the end of the period then they have effectively abandoned the debt and cannot collect.   Find out what that period of time is in your state.  If you can avoid the collection agencies till that period runs out you are scott free. You just have to make sure that you do not ever send them any money, or agree to pay them anything as this resets the calendar. If you do not want to wait for the calendar to run out if you wait long enough you will probably be offered favorable terms to pay only a fraction of the remaining amount, you just have to wait it out. Note, I normally would not endorse anyone not paying off their debts.  However sometimes it is necessary and it is for this type of situation that we have things like this and bankruptcy. "Basically what @littleadv said, but let me amplify what I think is the most important point. As he/she says, one thing you're paying them for is their expertise. If the title on record at the county office had a legal flaw in it, would you recognize it? In a way your question is like asking, Why should I go to a doctor when I could just make my own medicine out of herbs I grow in my garden and treat myself? Maybe you could. But the doctor and the pharmacist have years of training on how to do this right. You probably don't. Is it possible for you to learn everything you need to do it right? Sure. But do you want to spend the time to study all that for something that you will do -- buy a house -- maybe once every ten years? Will you remember it all next time or have to learn it all over? But really most important is, title companies offer insurance in case the title turns out to be flawed. That, to me, is the big reason why I would use a title company even if I was paying cash and there was no bank involved to insist on it. If there's some legal flaw in the title and it turns out that someone else has a claim to my house, and I lose in court, I would be out about $100,000. Your house might be costing you much more. That's a huge risk to take. Paying the couple of hundred dollars for insurance against that risk seems well worth it to me. And by the way, I don't think the ""due diligence"" is easy. It's NOT just a matter of making sure a title is really on file at the court house and has the proper stamp on it. It's all about, Does someone else have a legal claim to this property? Like, maybe three owners ago someone forged a signature on a deed, so the sale is fraudulent, and now the person who was defrauded or his heirs discover the issue and claim the property. Or maybe the previous owner failed to pay a contractor who did repairs on the house, and now he goes to court and gets a lien on the property. It's unlikely that you have the expertise to recognize a forged document. You almost surely have no way to recognize a forged signature of someone you never met on an otherwise valid-looking document. And you'd have to do a lot of research to find every contractor who ever worked on the house and insure none of them have a claim. Etc." "See this question regarding the relationship between a HDHP (High Deductible Health Plan) and an HSA (Health Savings Account). In brief, to qualify for an HSA you must have a HDHP: HDHPs are plans with a minimum deductible of $1,200 for self-only coverage and $2,400 for self-and-family coverage. The maximum amount out-of-pocket limit for HDHPs is $5,950 for self-only coverage and $11,900 for self-and-family coverage. As mentioned by Stainsor, your insurance can either come from your employer, or it can be an individually purchased plan. The HSA can be bundled as part of a package with the insurance, or it can be an account you set up separately. Contributions you make to the HSA are tax deductible. You'll report the amount you contributed when you file your taxes the following year. E.g. in April 2012 you'll report (and deduct) the amount of HSA contributions you made for tax year 2011. I'm not sure what kind of trouble you'll get into if you have an HSA without having a qualified HDHP. To answer the main part of your question: Different HSAs may have slightly different features, but I've typically seen them provide the following ways to withdraw funds: Via a debit card issued with the account. You can use the debit card to pay for things like drugs at the pharmacy, or at a doctors' office that requires payment at the time of service. Via online bill pay. You can use this to pay bills from hospitals, doctors' offices, or other healthcare service providers that send you bills. Via paper checks. For doctors' offices that require payment at time of service but don't accept plastic. (Or if you prefer not to use online bill pay.) Via withdrawal at a teller window or ATM. You can use this to ""reimburse yourself"" for healthcare expenses that you paid out of pocket. The issue of documenting legitimate expenses and/or qualifying for the account with an HDHP is between you and the IRS. The bank at which your HSA is kept doesn't really care whether you comply with the tax laws." In one of your comments you say: Even if the pharmacy is not in the insurance provider network? This is why you got the check instead of your insurance company. I have Blue Cross/Blue Shield, and recently my wife underwent a procedure in the hospital, where one of the physicians involved was not in my providers network. I got a letter from the physicians office stating that since they are out of network, the standard practice was for BCBS to issue the check to me, rather than to the provider. I received the check and made the payment. The main contention is the difference in price, and that is what you need to discuss with both the pharmacy (actual billing) and your insurance company (paid benefits). I understand that if I have multiple health insurance policies, I can only make claim from only one of them if ever I incur medical expenses (I'm from the Philippines). In the US, you cannot simultaneously submit a claim for payment of a medical bill, or request reimbursement for a bill already paid, to multiple insurance companies, but if you are covered by more  than one policy, then any part of a claim not paid by one company  can be submitted to another company that is also covering you. In fact, if you have employer-paid or employer-provided coverage, most  insurance companies will want your employer-provided insurance company  to be billed first, and will cover whatever is not paid by the employer coverage. For example, if the employer coverage pays 80% of your doctor's bill, the private insurance will pay the remaining 20%. But, the private  insurance policies are also quite expensive.  Some professional groups in the US offer major medical coverage to  their US members, and might be offering this to non-US members as well (though I suspect not).  These policies have large deductibles so that coverage kicks in only when the total medical expenses in that year (whether wholly or partially reimbursed, or not reimbursed at all) exceed the large deductible.  These types of policies actually pay out to only a few people - if you have more than, say, $20,000 of medical expenses in a year, you have been quite ill,  and thus the premiums are usually much smaller than full-fledged coverage  insurance policies which pay out much more frequently because of much smaller deductibles. "I disagree with the previous answer based upon your particular situation.   If the column states something like ""Amount Due to you"", and is a negative number, then you owe that amount. Much like the previous poster states that a Balance would be money you owe, and if it was negative then the school owes you the same can be said for the column in question. If the number was positive, the school would owe you that amount, if negative then you owe them.   Keep in mind you could always post a pic of the document blacking out personal information." "Doesn't make any difference.  Reconciling is important, but if you are constantly checking the online balance in between (because you are NOT keeping track of a running register balance) then the fact that you *eventually* ""balance"" is irrelevant...  And in fact if you're NOT maintaining a register, then you're really not ""reconciling"" (or ""balancing"") anything.... you're just looking over a bank statement and saying *""OK that looks right""*; or, as is more likely in your case saying *""Waitaminute, that's not right ... Oh, I guess I forgot about that transaction... and that one... and that other one.""*"