They sent my bill to a collection agency despite the fact that I have been making small payments each month. $30 of those payments do not show up on my bill. It appears I have not received credit for those payments. I insist on all contact via email so I have everything in writing, but they have not been willing to connect with me in that way. I cannot fill out the medical assistant form because I have not submitted my 2019 taxes yet, and they require that as part of the process.