How to Settle Medical Debt With CKMS: Your Complete Guide

By Talk About Debt Team
Reviewed by Ben Jackson
Last Updated: February 16, 2026
6 min read
The Bottom Line

Central Kentucky Management Services collects medical debt for University of Kentucky healthcare facilities. You can resolve CKMS debt by responding to any lawsuit immediately, verifying the debt is yours, and negotiating a settlement for less than you owe. Most people successfully settle with CKMS for 50-65% of the original balance.

Answer Your Lawsuit

Medical debt often involves multiple parties. You deal with healthcare providers, insurance companies, and sometimes collection agencies.

Central Kentucky Management Services (CKMS) might be calling you right now. Don’t ignore those calls. Address them head-on with the right strategy.

CKMS Filed a Lawsuit Against You?

You have as little as 14 days to respond to a CKMS debt collection lawsuit. File your Answer now before the court issues a default judgment that eliminates your negotiation options.

Respond to CKMS Now

You can resolve your medical debt quickly. You just need to know your rights and the proper steps.

What Is CKMS?

Central Kentucky Management Services operates from Lexington, Kentucky. The organization collects medical debt for the University of Kentucky healthcare system.

CKMS focuses exclusively on unpaid medical bills. If they’ve contacted you, it’s about debt from UK HealthCare facilities.

Is CKMS a Legitimate Debt Collector?

CKMS might raise your suspicions at first. The company isn’t accredited by the Better Business Bureau. Their online presence seems limited.

But CKMS is a legitimate corporation. They’re affiliated with the University of Kentucky. You can find their financial reports on the university’s official website.

CKMS has fewer consumer complaints than typical collectors. Only one complaint appears with the BBB as of late 2023. One CFPB complaint alleges they declined to validate a debt.

You have rights when dealing with debt collectors. Understanding these rights protects you from unfair practices.

Contact CKMS by phone at 859-276-1561. Their mailing address is 2317 Alumni Park Plaza #200, Lexington, KY 40517.

Your Rights When Dealing With CKMS

The Fair Debt Collection Practices Act shields you from aggressive tactics. Debt collectors must follow strict federal rules.

CKMS cannot engage in these prohibited practices:

  • Failing to identify themselves as debt collectors
  • Calling before 8 a.m. or after 9 p.m.
  • Calling you repeatedly throughout the day
  • Discussing your debt with friends, family, or coworkers
  • Using offensive, vulgar, or threatening language
  • Threatening arrest for unpaid debt
  • Contacting you after receiving a cease and desist letter
  • Refusing to validate your debt when requested

CKMS violates these rules? Report them immediately. File a complaint with the Federal Trade Commission at 877-382-4357. You can also contact the Consumer Financial Protection Bureau at 855-411-2372.

Step 1: Respond to Any Lawsuit Immediately

Time matters when facing a debt lawsuit. Some courts give you only 14 days to respond.

Missing this deadline results in a default judgment. Courts will rule against you automatically. You’ll lose any chance to negotiate or settle.

You must file an Answer with the court. Our partner Solo guides you through drafting your Answer. They can even file it for you.

Filing an Answer protects your rights. You keep control of your case. You can negotiate from a position of strength.

Step 2: Request Debt Validation From CKMS

Never admit to debt without verification. Medical billing gets complicated with insurance coverage.

Send CKMS a debt validation request immediately. They must provide written proof of your debt.

A proper validation letter includes:

  • The original creditor’s name and specific medical facility
  • The exact date you incurred the debt
  • Documentation proving you’re responsible for this amount
  • Complete payment history if any payments were made
  • The age of the debt and statute of limitations status

Don’t proceed with payment until you confirm the debt is yours. Insurance companies sometimes make errors. Billing departments occasionally double-charge patients.

Verify every detail before moving forward.

Step 3: Negotiate a Settlement With CKMS

Debt collectors want to avoid court battles. Lawsuits cost them time and money. CKMS will likely accept less than you owe.

Our partner Solo makes settlement negotiations simple. You never speak directly with collectors.

Start by offering 50-60% of your original debt. CKMS might reject this offer. They’ll probably counter with a higher amount.

You can accept, reject, or counter their offer. Keep negotiating until you reach an affordable amount.

Consider Carlos’s situation. He had medical bills after a routine operation. His insurance covered most expenses. But Carlos owed a remaining balance he didn’t fully understand.

CKMS contacted him about the debt. The situation escalated to a lawsuit. Carlos filed an Answer quickly, buying himself time.

He verified the debt was legitimate. Then Carlos offered to pay 60% of the balance. CKMS countered at 65%. Carlos accepted and resolved his debt.

You can follow the same strategy. Most collectors will negotiate rather than pursue lengthy court proceedings.

Step 4: Document Your Settlement Agreement

Get everything in writing. Never rely on verbal promises from debt collectors.

Your settlement agreement must include:

  • The final settlement amount
  • Payment terms and due dates
  • Confirmation that this settles the debt in full
  • Agreement that CKMS will report the debt as settled

Save all correspondence with CKMS. Keep emails, letters, and payment confirmations. Store these documents for at least seven years.

Written documentation protects you if disputes arise later. Collectors sometimes sell debts to other agencies. Your records prove you settled the account.

Rebuild Your Credit After Settling

Settling debt for less than you owe affects your credit score. But leaving debt unresolved damages your credit even more.

Settling represents the smart financial choice. You eliminate the debt and stop collection efforts. Then you can focus on rebuilding.

Start improving your credit immediately after settling. Our partner Kikoff helps you rebuild your credit score quickly. They offer tools designed specifically for credit recovery.

Pay all current bills on time. Keep credit card balances low. Your credit score will improve steadily over the coming months.

What Happens If You Ignore CKMS

Ignoring debt collectors never works. CKMS won’t give up because you don’t answer calls.

Unpaid medical debt follows a predictable path:

  • CKMS attempts phone contact repeatedly
  • They send written collection notices
  • The debt appears on your credit report
  • CKMS files a lawsuit against you
  • Courts issue a default judgment in CKMS’s favor
  • CKMS pursues wage garnishment or bank levies

You avoid all these consequences by responding quickly. Face the situation now while you control the outcome.

Courts favor defendants who respond promptly. Judges respect people who take responsibility. You’ll get better settlement terms by engaging early.

Most people can handle CKMS negotiations without an attorney. The process isn’t complicated.

But certain situations warrant professional legal help:

  • CKMS violates your rights under the FDCPA
  • You dispute the debt’s validity and CKMS won’t provide documentation
  • The lawsuit involves complex legal issues
  • You face multiple lawsuits from different creditors
  • CKMS already obtained a judgment and seeks garnishment

Consumer protection attorneys often work on contingency. You pay nothing unless they win your case. Many offer free consultations.

Don’t hesitate to seek legal advice. Protecting your rights matters more than any debt.

Frequently Asked Questions

What is Central Kentucky Management Services (CKMS)?

CKMS is a debt collection agency based in Lexington, Kentucky. They collect unpaid medical bills exclusively for the University of Kentucky healthcare system and its affiliated hospitals. If CKMS contacts you, it's about medical debt from UK HealthCare facilities.

How do I verify that my CKMS debt is legitimate?

Send CKMS a written debt validation request within 30 days of their first contact. They must provide proof including the original creditor, the date you incurred the debt, documentation that you're responsible for it, your payment history, and the debt's age. Never pay without receiving this validation.

Can I negotiate a lower settlement amount with CKMS?

Yes, CKMS typically accepts settlement offers for 50-65% of the original debt amount. Start by offering 50-60% of what you owe. CKMS will likely counter with a higher percentage. Keep negotiating until you reach an affordable amount, and always get the final agreement in writing.

What happens if CKMS sues me for medical debt?

You must file an Answer with the court within the deadline specified in your summons, often just 14-21 days. Failing to respond results in a default judgment against you. Filing an Answer protects your rights and allows you to negotiate a settlement even after a lawsuit begins.

How do I contact CKMS about my debt?

You can reach CKMS by phone at 859-276-1561 or by mail at 2317 Alumni Park Plaza #200, Lexington, KY 40517. Always communicate in writing when possible to maintain documentation of all interactions regarding your debt.