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well lets see Aaron says what about medical debt after sending a validation letter to a collection agency they in turn sent an itemized statement without a release form is that a HIPAA violation yes so thats a good question and that is one strategy and to docHub out to that debt collector and say hey you know you sent me a letter and says I own five hundred fourteen dollars seventy six cents you know from XYZ Hospital what is this okay yeah Ive been to that hospital but Ive been there a dozen times I dont know what this is and then really what they should do and the smart ones will do this they will forward your letter to the hospital and have the hospital directly contact you with the proof and the collection agency will say due to privacy laws we are not responding to you directly other than to say the hospital will and after they tell us theyve responded we will then write to you again so thats one way to do it but again with the HIPAA violation you cant sue directly under th