Detailed Answer

To strengthen an injury claim in Pennsylvania, gather comprehensive medical records and bills that document your treatment and expenses. Accurate documentation helps insurers or courts assess your damages effectively.

Step 1: Request Your Medical Records

Under HIPAA (45 C.F.R. § 164.524), you have a right to access your protected health information. Submit a written request to each provider’s medical records department. Include:

• Your full name, date of birth, and address.
• Specific dates of service or treatment types.
• A signed authorization for release of information.

Providers must respond within 30 days and may charge reasonable copying fees under federal rules.

Step 2: Collect Itemized Medical Bills

Ask each provider or billing office for an itemized statement. A complete bill should list:

• Date of treatment.
• Procedure or service codes.
• Provider’s charges and payments made.
• Outstanding balances you owe.

Itemized bills help prove the cost of your care and any unpaid amounts.

Step 3: Authenticate Your Records

In Pennsylvania courts or settlement negotiations, you can self-authenticate medical records as business records under 42 Pa.C.S. § 6108. Have the custodian provide a signed certificate confirming the records are kept in the ordinary course of business.

Step 4: Organize and Submit Your Documentation

Create a clear, chronological file—either physical or electronic. Label each section (e.g., ER visits, follow-up care, physical therapy). Include:

• Certified copies of medical records.
• Itemized bills and receipts.
• Provider certifications and summaries.

Submit copies to the insurance adjuster, opposing counsel, or court. Always retain originals and proofs of delivery.

Disclaimer: This article is for educational purposes only and does not constitute legal advice.

Helpful Hints

• Keep both digital and printed copies of all records.
• Track request and delivery dates for each provider.
• Review records for accuracy and ask providers to correct errors.
• Include narrative summaries from treating physicians.
• Itemize out-of-pocket expenses such as prescriptions and travel.
• Use tabs or bookmarks to make navigation easy.
• Consult an attorney if you face resistance or complex disputes.