Medical collection and getting a mortgage?

My husband and I would like to buy a condo within the year. He has a $ 1500 medical collection which is just over 5 years old from a treatment he received in college. The medical center had billed his insurance under the wrong ss# (clerical error) and sent several letters to that effect that my husband ignored, assuming it was their problem. Lesson learned. It does not appear to be affecting his score; he has good credit. Will a mortgage company make us pay this off at the closing? If so, wouldn’t his credit score drop due to the updated collection?

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