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What to Do When 866-258-1104 Calls About a Debt

What to Do When 866-258-1104 Calls About a Debt

You’re seeing the phone number 866-258-1104 because Parallon / NPAS Solutions LLC is trying to contact you about a medical debt they’re collecting on. Unfortunately, this is not a call you can ignore.

When a hospital or medical provider puts one of your accounts in the hands of a collection agency, the phone calls are designed to get your attention. But there are patterns behind the calls, and by understanding them, you can develop a plan to make the calls stop without having to pick up the phone.

Company Information

Company Name: NPAS Solutions LLC (also known as Parallon, National Patient Account Services, and Columbia Collection Services)

Company Type: Medical debt collection agency that functions as both a first-party billing agent and third-party debt collector depending on the client

Industry: Exclusively medical and healthcare debt including hospital bills, emergency room (ER) charges, physician balances, copays, and self-pay accounts

Parent Company: Wholly owned subsidiary of Parallon, which is owned by HCA Healthcare, Inc. (the largest for-profit hospital system in the United States)

Size: Parallon employs approximately 18,000 people and serves over 4,300 hospitals; HCA reported $70.6 billion in revenue in 2024

Headquarters: Nashville, Tennessee (Parallon); Louisville, Kentucky (NPAS, Inc.); Saint Louis, Missouri (NPAS Solutions LLC)

BBB Rating: A-rated and accredited since 2016 but has a 1.0-star average consumer review rating with 37 complaints in the last 3 years

Footprint: National with collection activity in all states where HCA owns hospitals

Their Track Record Speaks for Itself

The calls from 866-258-1104 can feel aggressive, to say the least. NPAS Solutions was the defendant in a class-action lawsuit called Johnson v. NPAS Solutions LLC. In this case, the class members alleged that NPAS Solutions had used automated dialing systems to call approximately 179,642 cell phone numbers assigned to persons who were not the intended recipients of the calls. The case settled for $1.43 million.

In addition to this case, NPAS Solutions has been named in more than 20 federal lawsuits alleging violations of the Telephone Consumer Protection Act (TCPA) and the Fair Debt Collection Practices Act (FDCPA). There are an estimated 75 or more complaints filed against the company with the Consumer Financial Protection Bureau (CFPB). The issues raised in those complaints are probably familiar if you’re reading this article right now.

Why is Parallon / NPAS Solutions LLC Calling Me?

The Medical Debt Connection

NPAS Solutions only collects medical debt, so it is almost certain that the call you’re receiving is connected to a hospital visit, an emergency room (ER) visit, or a physician balance. In many cases, the original creditor is one of HCA Healthcare’s facilities. You may recognize some of these hospital names:

Medical City Arlington • Corpus Christi Medical Center • JFK Medical Center

NPAS Solutions may be calling you about a balance you thought your insurance company had already covered. Sometimes the balance in question is just a copay or the result of a coding error between the hospital and your insurance provider. In some cases, however, the debt is not yours at all.

Wrong Numbers and Mistaken Identity

A significant percentage of the complaints about NPAS Solutions are filed by consumers who have no connection to the debt in question at all. Here’s what one consumer had to say on the website 800notes:

"They called and left a voice mail that was dead air for 30 seconds then someone activated a pre-recorded message about me owing money to Corpus Christi Medical Center which I’ve never been to."

Another consumer reported a similar experience:

"They called me telling me I went to the hospital last April in Fort Worth. I don’t go to the hospitals in Fort Worth."

The reason the class action resulting in a $1.43 million settlement occurred is that wrong number calls like these are not isolated incidents—they’re systemic.

What They’re Banking On (And Why It Doesn’t Work)

They’re Betting You’ll Panic and Pay

Every debt collection call is a bet. The collector is hoping you’ll feel enough urgency or fear to pay the balance without verifying any of the information. The sheer volume of calls is meant to wear you down. One consumer kept a log of the calls she received from NPAS Solutions:

"8:58 am 9:32 am 10:59 am I’m starting to feel anxiety getting so many calls."

That’s the idea. When you’re feeling anxious or overwhelmed, you’re more likely to pay whatever amount they claim you owe just to make the calls stop. But when you pay a debt you haven’t verified as accurate, yours, and correctly calculated, you may be restarting the clock on the reporting period and validating a balance you never actually owed.

They’re Assuming You Won’t Challenge the Debt

Here’s a little secret debt collectors won’t tell you: the majority of consumers never formally challenge their debts. Most people either pay, ignore the calls, or try to negotiate over the phone. All 3 of those responses play right into the debt collector’s hand.

What debt collectors are not prepared for is a written debt validation request. Under the Fair Debt Collection Practices Act (FDCPA), you have the right to demand the collector prove the debt is valid, the amount is accurate, and they have the legal authority to collect it. Filing a debt validation request is not a defensive maneuver—it’s an offensive one. Many debt collectors can’t provide adequate documentation to respond to a validation request, especially when it comes to older medical debts that have changed hands.

The idea that every debt is valid simply because a debt collector says so is a dangerous assumption. Billing errors, insurance errors, and mistaken identity are incredibly common when it comes to medical debt. Questioning every claim is not only your right—it’s a smart strategy.

What Other Consumers Are Going Through

Relentless Call Volume

The website ShouldIAnswer shows over 113 negative reviews for this phone number, and 800notes has multiple pages of complaints that go back for years. The story is always the same: automated calls, repeated daily calling, and voicemails that are either silent or prerecorded.

Here’s how one consumer described it:

"This number calls my place of business at least once a week, sometimes several days in a row. They leave the same automated recording each time. The name of the company they reference, whom we apparently owe money to, is not someone we do business with."

That single complaint encompasses all 3 of the most common complaints: excessive call volume, robocalls, and attempts to collect a debt the consumer does not recognize.

Calls That Don’t Stop Even After You Pay

Perhaps the most frustrating scenario is when consumers report that NPAS Solutions continues to call even when they’re making payments. One reviewer on ShouldIAnswer said:

"They will call and harass for more money even if you pay the amount due on time every month. No amount is good enough for these criminals."

Another consumer confirmed:

"We pay on time monthly for years but they call like clockwork anyway."

An 800notes consumer described an even more alarming disconnect:

"Have been harassing me for 6 months saying the hospital has turned my bill over to them because I haven’t made any payments. I have been making payments and hospital claims I shouldn’t be getting calls from debt collectors."

When the hospital itself tells you that you should not be getting calls from a debt collector and they continue to call, the problem is not you—the problem is the system.

How to Make the Calls Stop Without Picking Up the Phone

Debt Validation as an Offensive Strategy

Filing a written debt validation request forces the debt collector to prove their case. They have to document the original creditor, the amount you owe, and their right to collect. For medical debt that has passed through a hospital billing department and extended business office, getting clean documentation can be challenging.

When a debt collector cannot adequately respond to a debt validation request, they lose the legal authority to continue collection activity. A professional credit repair team can file these requests in the right format with the right language and follow up when the debt collector’s response is incomplete or missing altogether.

Credit Report Disputes That Stick

If NPAS Solutions has placed a collection account on your credit report, disputing it will trigger a formal investigation under the Fair Credit Reporting Act (FCRA). The credit reporting bureaus have 30 days to verify the information, or they have to delete it.

Here’s what most consumers do not know: once you successfully dispute a collection account and get it removed from your credit report, in most cases, the debt collector does not have the mechanism or the incentive to re-report it. The deletion is permanent. The cost of re-verifying a disputed account usually exceeds anything the debt collector might recover, especially when it comes to smaller medical debts.

You can technically file these disputes on your own, but there are pitfalls to the process. Dispute letters that use the wrong language or fail to cite the right statutes can make it harder to dispute the account later. A professional credit repair team understands the timing and the pressure points that get results.

The Bottom Line

Time Is on Your Side

Debt collectors are operating under a time crunch most consumers do not recognize. Lawsuits over medical debt are rare, there is a statute of limitations, and the 7-year credit reporting clock means that every month you spend strategically disputing instead of strategically paying is 1 month closer to the account disappearing.

NPAS Solutions is betting you’ll react emotionally, pay without verifying, and never question whether the debt is accurate. The moment you stop answering calls, stop engaging on the phone, and start challenging the debt through written requests and credit report disputes, the leverage shifts to your advantage.

Take the Next Step

If you’re getting calls from 866-258-1104, you don’t have to face it alone. At FightCollections.com, we specialize in fighting back against debt collectors by disputing inaccurate and unverifiable items on your credit report. Our team understands the games companies like NPAS Solutions play, and we know how to counter them.

Contact us today for a free consultation. Let us review your credit report, identify the accounts you can dispute, and help you build a strategy to get results.

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