If you’re unable to pay all of your bills on time, “cushion the blow to your credit score by defaulting on just one account. There is a component in the FICO score called 'prevalence,'" says John Ulzheimer, president of consumer education at SmartCredit.com. "That means having five collections is worse than having one." He recommends that you “let the account with the highest monthly payment fall behind to free up more money every month to pay your other debt obligations.”
Thank you for this. I have been building my credit back after Economy struggles and long term illness.  Today, I'm in a better position physically and materially. Most of my credit issues are resolved. However, I'm curious as to your next step once you resolved the medical bill situation.  Did you pay the creditor and subsequently write a letter to the credit bureaus? I have a $284 medical bill I can't recall not paying, but I would like to resolve the matter this year. 
Write a letter to the specific credit reporting agency that shows the falsehood, whether it is Experian, Equifax, or TransUnion. Explain the mistake and include a copy of the highlighted report along with your documentation. Although certain bureaus now let you submit disputes online, it’s not a bad idea to send this letter by certified mail, and keep a copy for yourself. The reporting agency has 30 days from the receipt of your letter to respond. The Federal Trade Commission provides advice on contacting the credit bureaus about discrepancies. Here are the contact numbers and web sites for the three credit bureaus:
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