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> just telling the hospital you haven't got insurance is, again, good for 90+% off by itself.

My understanding is that directly charging a different (higher) amount for insurance is considered to be fraud.




I'm not a lawyer and I've heard of more ridiculous laws than that, so quite possibly, but even if that's the case, I wouldn't think it would cover billing x and collecting 0.1x when you realize someone can't pay x.

And even if I'm wrong about that, when lacking insurance I didn't encounter a medical provider, including big ones with big compliance offices, who wouldn't do it. But others' mileage may vary.




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