Reposting this cause I got the letter it says I need to respond or they’ll assume it’s valid it says it on the paper 

3 years ago I went to an urgent care for Covid and they told me it would cost $200 (which I agreed to because at the time I had been putting into an HSA account and it had around $200) and they billed me double. It was also an awful experience they basically saw me for two seconds, called me fat when I’m underweight (cause of a clerical error they entered) and the staff was very abrasive and rude. I tried talking with management they wouldn’t call back and anyone higher up just insulted me. It was an extremely stressful time that really harmed my mental health because I couldn’t afford it then and I couldn’t it afford it now. I’m barely surviving and if I had known it would be this much I would have left honestly especially with how they treated me. Two years ago a collections agency called and they never sent a letter. The other day State Collection agency (in wisconsin) called (but I didn’t answer) and the letter arrived today. It doesn’t have any breakdown just what you see in the image. Even the original from the place just had “new patient doctor visit” not urgent care on it no incremental amounts. 

A lawyer two years ago said he’d help me pro bono but I can’t get a hold of him because he’s super busy and I’m sure he doesn’t remember since it was two years ago. 

So I don’t really know what to do. My HSA still has the $200 because I haven’t seen a doctor since and I could give them that $200 but if they’re expecting the rest of it I just don’t have money I’ve been working overtime just to afford food!

I’m just me by myself with no actual experience in anything and aside from the lawyer I would have zero support around me. I’m extremely insolvent and pay everything myself. I’m also disabled and not great with talking to people due to various mental deficiencies. So calling them I’ll just stutter. I also don’t own a printer so there’s also that… 

Also I don’t know how to get a cashiers check whatever that is from the HSA account or however the heck you pay anyway cause there’s a lot of mixed info online and it’s very confusing. If they’re able to see my credit they can clearly see I’m insolvent and struggling so.

Also this isn’t on my credit report because it’s medical debt under $500 I don’t know if that affects anything.

Any help is really appreciated because I don’t know what to do or how to proceed I was told to ignore it but I don’t want them thinking it’s valid when it’s not since I was told less. Honestly with how bad the experience was I think $200 was too much but I agreed to that so I’d give them the $200 on my HSA if they just go away. 

Need help with collections agency problem and negotiations