Claim Services, Inc.

Claim Services Inc. is consistently successful in providing the following documentation:

        Accident Detail Form
        Authorization for the Release of Medical Record
        Birth Certificate
        Coordination of Benefits
        Certificate of Creditable Coverage
        Claim Form
        Death Certificate
        DPA 2432
        Marriage Certificate
        Medicare Secondary Payer Documentation
        Police Traffic Crash Report
        Pre-existing Questionnaire
        Primary Care Physician Referral form
        Student Status
        Subrogation Forms

Claim Services has also achieved marked success with the following:

        Adding Baby To Medicaid / Insurance
        Hospital Lien
        Medicare Secondary Payer
        Common Working File
        Medicaid Eligibility Documents
        Special Projects to suit the unique needs of the client hospital.

Our goal is to provide you with a completed request in less than 30 days of receipt. Individual, expedited requests can be accommodated at no extra charge. You pay only for results. A flat fee is charged per account for the successfully completed request. This fee structure protects the hospital from the higher costs resulting from charges calculated as a percentage of the recovery.

Claim Services is committed to providing the highest level of service to the hospital and its patients.