stephenk said:
If she wants to get some type of settlement offer, she can list on the authorization the name and address of the treating doctor only. Never sign a blank authorization!
the carrier I work for typically puts off making settlement offers until they are able to get the treating records and billing. If there is no mention of prior injuries or if the plaintiff has no index history, no further information is requested.
Plus, the doctor typically charges a fee to prepare a report. The carrier will not pay for the report and almost always deducts that fee from any part of the medical bill they will pay. I dont need to read the medical report to determine if the treatment is credible and the billing accurate and reasonable. The treatment notes say it all.
IAAL, how's the T-bird holding up?
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My further response:
Copy and paste THIS "authorization" to your word processor, and fill it out. Then send THIS to the insurance company. DO NOT use their "authorization."
IAAL
AUTHORIZATION FOR RELEASE OF INFORMATION FROM MEDICAL RECORD
Record Subject
(Patient's Name) _______________________________ ________________
Last Name First Name M.I. Birthdate or Age
Address _________________________________________ ________________
Street City State Telephone Number
I, the undersigned, hereby authorize the _______________ (Health Care or Health Services) to provide from my medical record the information specified below to ______________and _______________ (Name of Any Duly Authorized Representative) for the purpose of ____________________________the information supplied is to be restricted to _______________ (Medical Condition or Injury) and/or _______________ (Time Period to be Covered) and/or _______________ (Other type of Information Specified)
Except as specified above, no other information about the named patient may be released without the patient's prior written approval.
Release or transfer of the specified information to any person or entity not specified herein is prohibited. An additional written consent must be obtained for a proposed new use of the information or for its transfer to another person or entity.
This authorization shall be valid until ______________
I understand that I am entitled to a copy of this consent.
Patient's Signature ______________________________ Date ____
Witnessed by: ____________________________________ Date ____