It is sketchy as fuck to be sure. I had a problem like this once and here is what I did... 1) get a copy of the chart. This may cost you $10 or so. 2) read every fucking word and look for anything recorded which was not done. Example: "Patient's neck is supple," but the doctor did not examine the neck. 3) write the CEO of the group identifying the unfactual chart entries citing the risk to their business from this fraudulent behavior and demand charges based on a truthful record of treatment. 4) take a lot of phone calls from bitches and make them work their tits off to solve this fucking problem given to them by the CEO. 5) once they are exhausted offer them any non-zero amount you want to go away a satisfied customer. 6) be sure to get a refund for the chart record fee. For extra effect tell them that after you agree on their haircut and take another $30 from them. They don't give any fucks by now - they would probably pay you to leave them alone. In my case I believe the hospital had default answers configured in the charting software that would then be coded as though the exam of the neck or eyes or whatever was performed. This increases the amount they can bill. It is a massive fraud factory. I offered them about $0.25 on the dollar and they did it. Got my docunent fees back, too. They are not likely to write it off or give you a pricing break because of your situation. Thank medicare rules for this. You may go for a payment plan that works for you and see how that goes. I went the path of administrative warfare and improved my situation. You can say fuck it and not pay and deal with collectors. Not sure how that goes, though.