Billing records include itemized statements, insurance claim forms, explanations of benefits, adjustments and write-offs, and payment postings. They document what was charged, what was accepted as payment, and by whom.
They are distinct from clinical records and must be requested separately.
Alternative Names:
Billing Records, Itemized Bills
Why it Matters?
Billing records are where the difference between billed and paid amounts becomes visible, which in states permitting evidence of amounts accepted can reduce claimed specials by a large multiple. They also reveal treatment financed through letters of protection, since those accounts show no insurance adjustment. Requesting explanations of benefits alongside itemized statements is what makes the analysis possible.
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Frequently asked questions
What should be requested beyond itemized bills?
Why do billing records matter to the defense?
