Requests for Production - Healthcare Dispute - Free Editor
REQUESTS FOR PRODUCTION - HEALTHCARE DISPUTE
Requests
- Medical records and treatment notes for the services at issue.
- Billing statements, invoices, and coding records.
- Insurance or payor correspondence regarding the dispute.
- Policies and procedures relevant to billing, coding, and compliance.
- Audit or utilization review documents related to the disputed services.
- Communications between the parties regarding the dispute.
- Contracts between provider and payor governing reimbursement.
- Documents supporting damages or offsets claimed.
- Credentialing or licensure documents for providers involved.
- Documents you intend to rely on to support your claims or defenses.
Verification
text
I declare under penalty of perjury that the foregoing responses and productions are true and correct.
______________________________
[RESPONDING PARTY NAME]
Date: [DATE]
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