5.1. In January 2018, Plaintiff was treated for a serious medical condition at  MultiCare Deaconess Hospital in Spokane, WA.    5.2. MultiCare billed Plaintiff Born for the services it claimed to have  performed for her.   5.3. Plaintiff could not afford to pay the balance in full at the time that she  was billed.   5.4. Plaintiff made periodic payments to MultiCare for the billed charges.   5.5. MultiCare assigned collection of the billed charges to Defendant State.   5.6. In October 2018, when Plaintiff contacted MultiCare to pay off her  remaining balance, she was told by the MultiCare billing department  that her account had been assigned to “state collections”.   5.7. Plaintiff understood that “state collections” meant that the debt was  being collected by the state of Washington.   8.1. This action is brought on behalf of a class consisting of:   8.1.1. All persons residing in Washington State who received a  communication from Defendant State Collection;   8.1.2. For purposes of the WCPA, all persons and businesses who,  within (4) four years preceding the filing of this Complaint,  received any communication from Defendant State that was an  attempt to collect a claim;  