Detailed Answer
Gathering and submitting medical records and bills ensures your injury claim in Ohio stands on solid ground. Follow these five steps.
1. Sign a HIPAA Authorization Form
Under the Health Insurance Portability and Accountability Act, hospitals and doctors require a written release. Download a HIPAA release from the provider’s website or use Ohio’s standard form. The form must include your name, provider name, date range, and your signature.
2. Request All Relevant Treatment Records
Send the completed HIPAA authorization to each medical provider via certified mail or a secure portal. Include your date of injury and ask for records related to the accident. Ohio law protects those records but allows release with your consent under R.C. 2317.40.
3. Obtain Itemized Medical Bills and Explanation of Benefits
Request itemized bills from each provider. If your insurance company processed the claim, ask for the Explanation of Benefits (EOB). The EOB shows billed amounts, payments made, and any outstanding balances. That information validates your out-of-pocket costs.
4. Organize and Review Your Documents
Arrange records and bills in chronological order. Create a cover sheet summary listing dates, providers, treatment types, and costs. Review each record for accuracy. Confirm the dates match your accident timeline and that no pages are missing.
5. Submit Records with Your Claim
For an insurance claim, attach copies of all records, bills, and a summary cover letter. For a lawsuit, include these documents with your initial disclosures or as exhibits in response to discovery requests under the Ohio Rules of Civil Procedure. Providing complete records speeds up settlement negotiations.
Relevant Ohio Law
Ohio Revised Code § 2317.40 addresses patient privilege and consent for medical records. Read the statute here: R.C. 2317.40.
Helpful Hints
- Always keep certified-mail receipts when requesting records.
- Ask providers about copying fees up front.
- Use a file folder or digital folder labeled by provider name.
- Include both billed charges and paid amounts in your summary.
- Retain original records; submit copies only.
Disclaimer: This article explains general principles under Ohio law. It does not constitute legal advice. Consult a licensed attorney for legal guidance specific to your case.