How to Gather and Submit Medical Records and Bills to Support an Injury Claim in Wisconsin

The information on this site is for general informational purposes only, may be outdated, and is not legal advice; do not rely on it without consulting your own attorney. See full disclaimer.

Detailed Answer

When you file an injury claim, thorough medical documentation proves the nature and extent of your injuries. In Wisconsin, you have the right to access your records and bills under Wis. Stat. §146.83. Follow these steps to collect and submit accurate, complete information.

1. Identify All Covered Providers

List every healthcare provider involved in your treatment. Include:

  • Hospitals and emergency departments
  • Primary care physicians
  • Specialists (e.g., orthopedists, neurologists)
  • Diagnostic facilities (e.g., imaging centers, labs)
  • Rehabilitation providers (e.g., physical therapy, chiropractic)

2. Submit a Written Records Request

Under Wis. Stat. §146.83, request “patient health care records” in writing. Include:

  • Your full name, date of birth, and address
  • Dates of service or treatment
  • Specific records needed (e.g., ER notes, X-ray images)
  • A signed HIPAA Authorization form, if required

Send the request via certified mail or secure e-mail. Reference Wis. Stat. §146.83: docs.legis.wisconsin.gov/statutes/statutes/146/83.

3. Obtain Itemized Medical Bills

Ask each provider for an itemized statement. Confirm that bills include:

  • Date of service, procedure codes and descriptions
  • Provider name, address, and tax ID
  • Total charges and payments/adjustments

Wisconsin limits fees for copying records under Wis. Stat. §146.835: docs.legis.wisconsin.gov/statutes/statutes/146/835.

4. Review and Organize Your Documentation

  • Check dates and diagnoses against your recollection.
  • Highlight key treatment notes and billing items.
  • Create a chronological index or table of contents.
  • Scan or copy records, clearly labeling each file.

5. Submit Records to the Claims Adjuster or Attorney

Most insurers allow online portals or secure e-mail. If you work with an attorney, deliver files on a thumb drive or via a secure client portal. Always:

  • Track submissions with confirmation receipts.
  • Keep duplicates in your possession.
  • Send follow-up reminders if deadlines approach.

6. Follow Up and Maintain Copies

Providers must respond within 10 business days or state a reasonable delay under Wis. Stat. §146.83. If you don’t receive records, send a second request or file a complaint with the Wisconsin Department of Health Services. Always keep a master copy of every document you submit.

Helpful Hints

  • Start requests early—some providers take weeks to compile records.
  • Ask for both digital and paper copies when possible.
  • Confirm whether your insurance has already paid to avoid duplicate requests.
  • Maintain a spreadsheet of request dates, charges, and responses.
  • Consider a certified mail return receipt for important submissions.

Disclaimer: This article provides general information and is not legal advice. Consult a qualified attorney for advice about your specific situation.

The information on this site is for general informational purposes only, may be outdated, and is not legal advice; do not rely on it without consulting your own attorney. See full disclaimer.