Most patients don't pay it. You can credit report them but if the patient shows that NO Services were rendered, legally the collection agency has to take it off, same with court, unless provider can show SERVICES RENDERED it's not often they will get the money. I once had a provider bill me for a no show of $225 .. it was a consult for ENT, the day before the visit my transmission went in my car, I called and canceled the appt that night. They put me into collections and all I had to do was show the collection agency it was a bill for No show and that no services were rendered. I'm sure it costs them way more in statements, postage, phone calls and then credit reporting. It's just NON productive.