Embedded Files
PAYABLE BY MEMBER
PAYABLE BY MEMBER
Simple Records Request (for delivery to patient only - annual paperwork credit does not apply)
Simple Records Request (for delivery to patient only - annual paperwork credit does not apply)
Annual Member Credit Toward Paperwork
Annual Member Credit Toward Paperwork
Each member gets a $35 allowance per year toward patient initiated insurance paperwork or FMLA paperwork, not transferable or applicable to other members. Has no refundable cash value. Credit applied at the time of billing for service.
Insurance Paperwork (patient requested)
Insurance Paperwork (patient requested)
FMLA & Work Accommodation Paperwork
FMLA & Work Accommodation Paperwork
PAYABLE BY INSURANCE COMPANIES
PAYABLE BY INSURANCE COMPANIES
Private Insurance Records Requests
Private Insurance Records Requests
Private Life Insurance, Disability Insurance, Health Insurance Application - Payable by insurance company
Disability Determination Services
Disability Determination Services
Some of these are billed to agencies, some to attorney office, and some to member. Member credits apply only to items billed to member.
Workers Comp, Liability Insurance, Legal Paperwork
Workers Comp, Liability Insurance, Legal Paperwork
We do not handle work comp at this time. Member will need to work with their work comp insurance to seek reimbursement if any is applicable.
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