Your completed Client intake form
The Assignment of benefits signed, on or near the commencement of treatment, by the patient or injured party’s parent, if a minor.
Bill(s) for unpaid treatments, services, or supplies. The charges must be reasonable, and we fight for Billed Amount differentials and payment on the codes denied at the fee schedule.
Proof of mailing for the bill(s) such as Green cards or USPS priority mail receipts.
Carrier verification requests and your answers, if any. Proof of responses, such as e-fax receipts, are also substantial.
There is no such thing as too much information. A complete file is medical records, billing records, mailing records, and fax confirmations.
The Mitra Firm
P.O. Box 94 – 1808
Miami, FL 33194
Call us at (305) 409 – 4900 and schedule a pick-up. Your documents will be returned after they are scanned.
Scan and send your documents to email@example.com