South Carolina Citizen Journal

November 7, 2008

University Medical Associates send money, jobs out of state

Filed under: Circle the Wagons, Economy, Health Care, South Carolina — NotforHire @ 9:53 am

After having an altercation with an automobile on my bicycle earlier this summer that required medical attention, I find myself looking at a bill from University Medical Associates, the umbrella group that handles billing for doctors that practice at MUSC.

The statement has me sending my payment to a post office box in Raleigh, NC, which I think is wrong on several different levels. It means that doctors practicing medicine at a publicly funded medical university in South Carolina are using an out of state company to handle their billing, sending jobs and money out of state.

There is no doubt that UMA should be handling their billing with an in state company, keeping the flow of capital in South Carolina banks and employing South Carolina residents rather than outsourcing the business out of state.



  1. UMA is basically a contractor and is not part of MUSC. But besides that, if MUSC proper can get cheaper billing services in NC rather than SC shouldn’t they use it and save the patients a bit of money(if they actually pass any savings along).

    Comment by Matthew — November 7, 2008 @ 1:00 pm

  2. Hiya.

    Thanks for the comment regarding my blog about the UMA billing going out of state.

    Yes they are an independent contractor and they can do what they want. The bigger picture however is that they are sending jobs away from the local economy thus eroding their own customer base. They are also eroding the state’s tax base even as they make use of state funded facilities.

    Yes they can do what they want, and they may be saving a few dollars in the short run, but in the broader scheme of things they are costing themselves and the community money.

    One idea I think should be looked at is having MUSC, who already has their own billing department in place, take over the billing for UMA for the same rate that they receive from whoever is doing it for them in Raleigh.

    Anyway, thanks again for the comment.

    Comment by NotforHire — November 10, 2008 @ 10:38 am

  3. Many companies use banks that have lockboxes for receiving payments, and if the bank is out of state, then the address where the payment is sent is out of state. It’s usually to larger metro areas like Atlanta, Raleigh, Wilmington DE, etc. That’s a very common business practice. Can you back up your comments with proof, other than a payment address?

    Comment by Charlestoncitizen — November 21, 2008 @ 12:08 pm

  4. The proof was the Raleigh, NC, remittance address on the statement.

    Not only that, when I received my statement from MUSC hospital, the remittance address was in Atlanta.

    I paid both bills locally.

    Comment by NotforHire — November 22, 2008 @ 10:58 am

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    What are your personal thoughts concerning how this could potentially impact
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    Comment by Ideostescoorm — November 4, 2009 @ 2:14 pm

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