<prompt> Human: UPDATE:After faxing paperwork to the company numerous times without any luck, we received the supervisors direct fax number. We arent sure who the person supervises, as no one ever seemed to know this persons name or what location they work in. 8 days later we received a Final Notice letter. I called in again for one last effort before paying the full amount and was finally told they had received the fax and were now eligible for a discount!!! I paid in full immediately.The total came out to roughly 13 of the original amount. We are more than ecstatic!I want to enthusiastically thank everyone that provided support and constructive advice. Its been a learning experience for sure and my wife is definitely sold on getting health insurance during open enrollment.Original post:My wife, who is uninsured thats a topic for another time, passed out and needed a visit to the ER. The majority of the 2 hours were spent seeing a nurse practitioner. We have received bills from all over the place - all verified that they were the correct services rendered and billed correctly.All but one has been more than happy to negotiate the amounts since we are paying in cash really paying by credit card. The one bill we have received for 1300 that wont negotiate we thought was for the ER doctor. Not so...its for the nurse practitioner who is an outside company and does not operate under the hospitals policies for billing.The company has really been hard to work with. Their hours to contact them arent exactly regular 9-5 business hours. When they asked for a form from the hospital stating what the hospital is discounting, there are 2 methods of sending paperwork in - snail mail or through their fax service that takes...get this...7-10 business days to come through.The hospital has stated they have nothing to do with the nurse practitioners billing practices and will not help. And the billing company has said they have not received anything in the 2 weeks since we sent in the form from the hospital.Ive debated consulting a lawyer, but at roughly 1300, is it worth it? Ive debated letting it go to collections in hopes they will negotiate.Advice please?  <response>: Mail the damn paperwork already, if its in your city it will get there the next day. Write a brief explanation that includes a reasonable cashcheck offer for the services. 