Some collection agencies will offer this (even though they technically are not supposed to do so).
The closer you are to seven years, the more likely they are to deal with the debt.
Your doctor or hospital decides when they hand the debt over to the collection agency, but it is usually around 60 days without payment.
But any debt can ultimately end up with a collection agency.
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And after a few more months, the banks will typically sell the debt to a collection agency.
When banks sells the debt, they wipes their hands of the relationship.