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Do you think you might have paid them with a CC or check? If so, you might be able to check old bank statements to find the payment and ask the HMO to verify that they received payment on said date.

Another option is telling them you already paid it but don't have the receipt; the CSR may be helpful and willing to locate that info in their records. I have found, with medical offices particularly, that sometimes one department doesn't talk with another.

It is likely that there is a record of your payment but somehow it was lost in one department. If it is worth it to you, you could track it down. It once took me seven months to convince a dr's office staff that I had paid my bill, even though it was in their receipt book.

Minxie
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