Detailed Answer
When you file an injury claim in
- Request Your Medical Records: Under HIPAA, contact each healthcare provider and submit a written request. Include your name, date of birth, treatment dates, and signature.
- Obtain Itemized Bills: Ask providers for itemized bills showing CPT codes, service dates, and provider details.
- Review and Organize: Confirm each record matches its bill. Organize documents chronologically and create an index.
- Authenticate Records: Use WV Code §55-7-10 (wvlegislature.gov) to admit medical and billing records under hearsay exceptions.
- Submit with Your Claim: Attach records, bills, and your index to your insurance adjuster or court filing. Send copies and retain originals.
- Address Provider Liens: If a provider asserts a lien, review WV Code §55-7B-1 (wvlegislature.gov) for lien requirements and timelines.
- Meet Deadlines: File records by insurer or court deadlines. Late evidence may get excluded.
Properly collecting, authenticating, and organizing your medical records and bills creates clear proof of your injury-related expenses.
Helpful Hints
- Use certified mail or tracked delivery when sending documents.
- Keep both digital and paper copies of every record.
- Prepare a cover sheet listing each document by date and type.
- Label exhibits clearly (e.g., “Exhibit A – X-Ray Report”).
- Verify that bills include appropriate CPT or ICD codes.
- Check your insurance policy for record submission rules.
- Follow up with the adjuster to confirm receipt and address questions promptly.
Disclaimer: This article is for informational purposes only and does not constitute legal advice. Consult a qualified attorney for advice on your specific situation.