<prompt> Human: As the title says, I went in for psychological testing almost four months ago and was diagnosed with ADHD OCD as a result. nbsp;I got a call earlier from the office saying that they were working on closing out patient files from 2017 and that I have an outstanding balance of almost 800. nbsp;Last year I did have a high deductible health plan, but when I checked out of this visit in October, I was charged 150 out of pocket, so I figured that was that. Between this visit and four other visits two being initial visits with psychologist and psychiatrist and the other two being follow-ups with each, I have paid out-of-pocket about 500, with my health insurance website claims reflecting a balance of 500 as well. nbsp;Is this a standard practice? Should I just figure out a way to cough up that insane chunk of change that Im hearing about for the first time FOUR MONTHS later? Is there something I can do with my insurance company to lower the balance? Any help is much appreciated. Thanks in advance. nbsp;EDIT: The office called back to say that the insurance has covered all they plan to cover, but that the charge looked inconsistent with what I have typically been paying. They said they would speak with the accounts payable personnel and let me know the updated balance. Im just so terrified that Im going to have to dish it out. nbsp;Also, at the time of the visit, my receipt said, Total Charges: 100; Insurance Paid: 0; Patient Balance Due: 144 I believe the 44 was an unpaid balance from a previous visit. This is consistent with my Claims Summary on my health insurance page, as it says Total Charges: 100; Patient Liability: 100. Am I crazy to have assumed that was all Id be paying? How are offices allowed to be this misleading? And wouldnt SOMETHING else have showed up on my health insurance claims to reflect this mysterious 800?  <response>: You can try through the insurance company, but I wouldnt expect much help there if you didnt meet your deductible for the year.I would talk to the office and see if they would be okay with setting up a payment plan. Most are amicable to the idea of having the debt paid in installments instead of going to collections. 